2062 Copper Lane - Inspection Formr City or ,a a
Residential Sanitary Sewer Service
Compliance Inspection
Date_.._!
Name , f / _ 1�/ Disk #
HD Number
House Number t .)(. Stre Name
Alternative Mailing Addr'ess ..
Owner /Occupant Signature
For information call 651.470.2788
o pliance
No foundation drain connection
' No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
C( No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag) ipe Deflection . :`
Damaged Pipe
Transition i-
4" to 6" Transition:
White Copy: Property Owner
am
Time / . • 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
I Entered S:.L at -•� �
Yellow Copy: City of Eagan
Record Number
am
® pm
ime
/� / `,�
Phone
Obstruction
Unable to push past
feet
Inspector Signature
Length of Service: c. "` a - Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Notes
Number Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
( J
Foundation drains
Roof drains
r City or ,a a
Residential Sanitary Sewer Service
Compliance Inspection
Date_.._!
Name , f / _ 1�/ Disk #
HD Number
House Number t .)(. Stre Name
Alternative Mailing Addr'ess ..
Owner /Occupant Signature
For information call 651.470.2788
o pliance
No foundation drain connection
' No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
C( No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag) ipe Deflection . :`
Damaged Pipe
Transition i-
4" to 6" Transition:
White Copy: Property Owner
am
Time / . • 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
I Entered S:.L at -•� �
Yellow Copy: City of Eagan
Record Number
am
® pm
ime
/� / `,�
Phone
Obstruction
Unable to push past
feet
Inspector Signature
Length of Service: c. "` a - Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH