2057 Emerald Lane - Inspection FormSump pumps
t
Foundation drains
Roof drains
Eity ill to p!
Residential Sanitary Sewer. Service
Compliance inspection
Date ^ ` / •
PID Number
House Number
Alternative Mailing Address
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
Poor Pipe Joints v ) r
Mineral Deposits
(Sag /Pipe Deflection .L.,4_
,., 4 —
Damaged Pipe
Transition
4" to 6" Transition:
Time
Name .i 1 .� X2 � Disk #
Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots f
rip }
I r A pm
- ( }j
For i nformatton .call 651,:470:2788
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
Number Discharged
Total Correctly Incorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
c_
Time i
L
Phone _.
9 am
, 0 ;P
inspector Signature
Obstruction
Unable to push past
feet
Notes
1
y /}
2
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
-2 ,.^
Length of Service: 1 , -r Final Cleanout:
Pink Copy: SEH