2082 Copper Lane - Inspection Formof F JI
Residential Sanitary Sewer Service
Compliance Inspection
Date t 7 / /f /
Alternative Mailing Address
/
Compliance
Ci — No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
c] No sump pump
If
Service Lateral Inspection
4" to 6" Transition:
Time i / s- ,o pm
Name ��?Jr" Disk # F-2,1 +ir Lim
PID Number
House Number 7 rf ? Street Name
OwnerlOccupant Signature
For information call 651 .470.2788
Findings
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 L at
Roots
Poor Pipe joints
Mineral Deposits .!" -
Sag /Pipe Deflection
Damaged Pipe
Transition if f•ar 1. `\- 4/7 4-
Length of Service: ,
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
.lam • Time ! f • � pm
Phone ' _Z. ./We/
i �
,- -,_`
' Inspector Signature
/ i
r it - ce - zo
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes J
Pink Copy: SEH
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
—
Foundation drains
Roof drains
'
of F JI
Residential Sanitary Sewer Service
Compliance Inspection
Date t 7 / /f /
Alternative Mailing Address
/
Compliance
Ci — No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
c] No sump pump
If
Service Lateral Inspection
4" to 6" Transition:
Time i / s- ,o pm
Name ��?Jr" Disk # F-2,1 +ir Lim
PID Number
House Number 7 rf ? Street Name
OwnerlOccupant Signature
For information call 651 .470.2788
Findings
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 L at
Roots
Poor Pipe joints
Mineral Deposits .!" -
Sag /Pipe Deflection
Damaged Pipe
Transition if f•ar 1. `\- 4/7 4-
Length of Service: ,
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
.lam • Time ! f • � pm
Phone ' _Z. ./We/
i �
,- -,_`
' Inspector Signature
/ i
r it - ce - zo
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes J
Pink Copy: SEH