2106 Carnelian Lane - Inspection FormsSump pumps`
Foundation drains
)
L
Roof drains
�t
City of
Resideriitiai Sanitary Sewer Service
Compliance Inspection
Datel
p
Name
PID Number
I -louse Number
Alternative f)ailg d Tess
Compliance
No foundation drain connection
No roof drain connection
No sump pump
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Service Late!' al Inspection Findings
7 °_ 1 .
Roots 9 /� a �'i
Transition
4" to 6"Transition:
2
White Copy: Property Owner
Total
Time
,Disk #
Street Name
OwnerlOccupant Signature
For. inforrnation`call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks ! Entered S. at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ,'
Number Discharged
Cor rectly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Y.� % am �m
Time •
•
Phone
Obstruction
Unable to push past
feet
Notes
inspector Signature
Length of Service: i✓ 3 l p Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Sump pumps`
Foundation drains
)
L
Roof drains
�t
City of
Resideriitiai Sanitary Sewer Service
Compliance Inspection
Datel
p
Name
PID Number
I -louse Number
Alternative f)ailg d Tess
Compliance
No foundation drain connection
No roof drain connection
No sump pump
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Service Late!' al Inspection Findings
7 °_ 1 .
Roots 9 /� a �'i
Transition
4" to 6"Transition:
2
White Copy: Property Owner
Total
Time
,Disk #
Street Name
OwnerlOccupant Signature
For. inforrnation`call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks ! Entered S. at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ,'
Number Discharged
Cor rectly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Y.� % am �m
Time •
•
Phone
Obstruction
Unable to push past
feet
Notes
inspector Signature
Length of Service: i✓ 3 l p Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH