2081 Emerald Lane - Inspection FormCity of 1apn.
Residential Sanitary Sewer Service
Compliance inspection
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Date '`� / `�`J IL2
Name Disk #
RD Number.
r7f�
House Number -!C : Street Name
Alternative Mailing Address
oripliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q' No sump pump
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Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
3i
Transition / , a /?'
4" to 6" Transition:
Sump pumps
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OwnerlOccupant Si
Foundation drains
Roof drains
White Copy: Property Owner
Total
I `. a am
Time 4-~ 7-• Pm
nature
Correctly
Incorrectly
Unknown
Number Discharged
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
Record Number
Notes
Ei
1
Length of Service:
Time
Phone / 1
Obstruction
Unable to push past
feet
•
•
inspector Signature
Service Lateral Ins ection Findings Number of stacks Entered S L. at "c
Roots r 5 „—
Poor Pipe Joints
Final Cleanout:
m
pm
No Access
O No one in
For information call 651:470.2788
O Access to service
lateral needed
O Inspection
refused
- .
Yellow Copy: City of Eagan Pink Copy: SEH