2013 Coral Lane - Inspection FormL�� 7 ;4it)
City of lia ao
Residential Sanitary Sewer Service
Compliance Inspection
Date' 1 ci Time
Name r(
House Number
Alterrn: ive Mailing Address
r
White Copy: Proper ty Owner
Disk #
PID Number
27 ?) i Street Name
Ownerl0ccup t Signature
of pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
r41 No sump pump
Service Lateral Inspection Endings
e -
Roots
4" to 6" Transition: / ..�C-
'� am
0 pm
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 1
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
T '
Transition
-�
? 0
Length of Service: !:
Yellow Copy: City of Eagan
Record Number.
D / Time
Entered S L at
Inspector Signature
Obstruction
Unable to push past
feet
W Final Cleanout:
am
pm
1 .
Phone 1 ).
or information call 651
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Notes
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
Roof drains
L�� 7 ;4it)
City of lia ao
Residential Sanitary Sewer Service
Compliance Inspection
Date' 1 ci Time
Name r(
House Number
Alterrn: ive Mailing Address
r
White Copy: Proper ty Owner
Disk #
PID Number
27 ?) i Street Name
Ownerl0ccup t Signature
of pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
r41 No sump pump
Service Lateral Inspection Endings
e -
Roots
4" to 6" Transition: / ..�C-
'� am
0 pm
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 1
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
T '
Transition
-�
? 0
Length of Service: !:
Yellow Copy: City of Eagan
Record Number.
D / Time
Entered S L at
Inspector Signature
Obstruction
Unable to push past
feet
W Final Cleanout:
am
pm
1 .
Phone 1 ).
or information call 651
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH