2026 Zircon Lane - Inspection Formr ' it of Eapn
Residential Sanitary Sewer Service
Compliance Inspection
Date � � ! 2 3 - 1 /2
Name P/ 7441/Z ,;' '''4 .^'Disk#
PID Number
House Number 2° Street Name
Alternative Mailing Address
Compliance
No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
i No sump pump
4" to 6" Transition: / gores ( ((Ay (j('
White Copy: Property Owner
Time 4. pm
0
Owner /Occupant Signature
L.4/
For information call 651
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
0 • .'am
Time / v ® 6/ . O pm
/ 'inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
Entered S . at J C
O Access to service
lateral needed
O Inspection
refused
Service Lateral nspecti n Findings Number of stacks
Roots a C 6 t
I
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: />s-; /r�
r
Pink Copy: SEH
Number
Correctly
Discharged
Notes
_.
Total
Incorrectly
Unknown
Sump pumps
- .
Foundation drains
-.' i
Roof drains = --
-) =
____._ ...._ __
....... _. ____.__M___..
r ' it of Eapn
Residential Sanitary Sewer Service
Compliance Inspection
Date � � ! 2 3 - 1 /2
Name P/ 7441/Z ,;' '''4 .^'Disk#
PID Number
House Number 2° Street Name
Alternative Mailing Address
Compliance
No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
i No sump pump
4" to 6" Transition: / gores ( ((Ay (j('
White Copy: Property Owner
Time 4. pm
0
Owner /Occupant Signature
L.4/
For information call 651
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
0 • .'am
Time / v ® 6/ . O pm
/ 'inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
Entered S . at J C
O Access to service
lateral needed
O Inspection
refused
Service Lateral nspecti n Findings Number of stacks
Roots a C 6 t
I
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: />s-; /r�
r
Pink Copy: SEH