2087 Coral Lane - Inspection FormNot
Number
Correctly
Discharged
Incorrectly Unknown
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Total
Sums urn s :
p P Pi
Foundation drains
Roof drains
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4 of tam
Residential Sanitary Sewer Service
Compliance Inspection
E
Date 71 I
Name .
PID Number
House Number f .<f Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
] o 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 Number of stacks Entered S L at
Roots ✓S -
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
1-4"
Owner /Occupant Signature
White Copy: Property Owner
• [ am
Time • y •
dsk#
(� pm
Phone / LIT r
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time •
inspector Signature
Obstruction
Unable to push past
feet
am
p
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
J }_ il
,. Final Cleanout: / t /
Pink Copy: SEH