2022 Carnelian Lane - Inspection FormsResidential Sanitary Sewer Service
Compliance Inspection
Date / 7/r / Time
Name J'✓A=e Disk#
PID Number
-
House Number. Street Name
Alternative Mailing Address . ..
/E , r�
4" to 6" Transition:
White Copy: Property Owner
Owner/Occupant Signature
j 5 -taa 62 (Le i c:
C:orh pt eic_
aC r pm
J-LL1 -[i]
•
Compliance Non - Compliance
O No foundation drain connection 0 Clear water connections to
O No roof drain connection sanitary sewer
O Service lateral defects
O Sump pit not connected to O Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phon
; } r / 11
I r`�✓ �_.
lnspeaor Signature
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
For information call 651.470.2788
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes
' 1 . (�...
1 " . ' T ---
f
, "
. 2? ?f
-
�,
7
�
Truer
(`S
✓7
`
`'.1
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date / 7/r / Time
Name J'✓A=e Disk#
PID Number
-
House Number. Street Name
Alternative Mailing Address . ..
/E , r�
4" to 6" Transition:
White Copy: Property Owner
Owner/Occupant Signature
j 5 -taa 62 (Le i c:
C:orh pt eic_
aC r pm
J-LL1 -[i]
•
Compliance Non - Compliance
O No foundation drain connection 0 Clear water connections to
O No roof drain connection sanitary sewer
O Service lateral defects
O Sump pit not connected to O Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phon
; } r / 11
I r`�✓ �_.
lnspeaor Signature
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
For information call 651.470.2788
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
City of ta p
•
Residential Sanitary Sewer Service
Compliance inspection
Date 6 76 / ! 1_. - _ Time /31C-
Name , !'� . �
6-7-/-7x±_-__ Disk #
PID Number
House Number Z
Street Name
Alternative Mailing Address
✓ } ! ��
�
�
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
4" to 6 "Transition:
Al
Total
Sump pumps
Foundation drains
Roof drains
White Copy: property Owner
/41(4,77,4-v L4/ --
; Pho n e, - --
i
Length of Service;,
Correctly Incorr=ectly
td-L
Unknown
Record Number
Time /11 •
o
Sag /Pipe Deflection__._. -==--
Darnaged Pipe
Transition / n n `r ,/r'�. -s �7
n 7
/ Inspector Signature
0 am
m
For information call 651 47(12788
Obstruction
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer
feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered S L.at b �
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cieanout: t t/f%,.-> v
Motes Zo nC)! /fin
r ,
.B..fr/Ar
L /
Pink Copy: SEH
Yellow Copy: City of Eagan
)
Residential Sanitary Sewer Service
Compliance Inspection
Date / 7/r / Time
Name J'✓A=e Disk#
PID Number
-
House Number. Street Name
Alternative Mailing Address . ..
/E , r�
4" to 6" Transition:
White Copy: Property Owner
Owner/Occupant Signature
j 5 -taa 62 (Le i c:
C:orh pt eic_
aC r pm
J-LL1 -[i]
•
Compliance Non - Compliance
O No foundation drain connection 0 Clear water connections to
O No roof drain connection sanitary sewer
O Service lateral defects
O Sump pit not connected to O Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phon
; } r / 11
I r`�✓ �_.
lnspeaor Signature
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
For information call 651.470.2788
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes
' 1 . (�...
1 " . ' T ---
f
, "
. 2? ?f
-
�,
7
�
Truer
(`S
✓7
`
`'.1
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date / 7/r / Time
Name J'✓A=e Disk#
PID Number
-
House Number. Street Name
Alternative Mailing Address . ..
/E , r�
4" to 6" Transition:
White Copy: Property Owner
Owner/Occupant Signature
j 5 -taa 62 (Le i c:
C:orh pt eic_
aC r pm
J-LL1 -[i]
•
Compliance Non - Compliance
O No foundation drain connection 0 Clear water connections to
O No roof drain connection sanitary sewer
O Service lateral defects
O Sump pit not connected to O Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phon
; } r / 11
I r`�✓ �_.
lnspeaor Signature
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
For information call 651.470.2788
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH