2070 Carnelian Lane - Inspection FormCity of Galan
Residential Sanitary Sewer Service
Compliance Inspection
Date t 6 1 /6 1 /c-'
Name
/,? / r f✓ { f r�/rs Disk #
PID Number
House Number
Alternative MailingAddress
7.—
Time I ��• s- o pm
OwnerlOccupant Signature
oirr pliance
O No foundation drain connection
b (No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
Q No sump pump
1
Street Name (.. ?4 & /
For information 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
Service Lateral Inspection Findings Number of stacks
ff
Roots r Lif (P. c 70. /
Poor PipeJoints
Mineral Deposits (,(67,S1 7 '
Sag /Pipe Deflection
Damaged Pipe
Transition
f '•
White Copy: Property Owner
tam
/§
4" to 6" Transition: �} /
Length of Service:
Yellow Copy: City of Eagan
Record Number '
Phone
/1 • am
Time • o pm
Inspector Signature
Obstruction
Unable to push past
feet
Entered St at
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Final Cleanout:t
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes 0 (C7r✓l'.. /6-`..(2"- '"4,7--'4,`72
`r / -d°
Total
Sump pumps
y
W
Foundation drains
,j'
_____
Roof drains
—
—_ --
- __
City of Galan
Residential Sanitary Sewer Service
Compliance Inspection
Date t 6 1 /6 1 /c-'
Name
/,? / r f✓ { f r�/rs Disk #
PID Number
House Number
Alternative MailingAddress
7.—
Time I ��• s- o pm
OwnerlOccupant Signature
oirr pliance
O No foundation drain connection
b (No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
Q No sump pump
1
Street Name (.. ?4 & /
For information 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
Service Lateral Inspection Findings Number of stacks
ff
Roots r Lif (P. c 70. /
Poor PipeJoints
Mineral Deposits (,(67,S1 7 '
Sag /Pipe Deflection
Damaged Pipe
Transition
f '•
White Copy: Property Owner
tam
/§
4" to 6" Transition: �} /
Length of Service:
Yellow Copy: City of Eagan
Record Number '
Phone
/1 • am
Time • o pm
Inspector Signature
Obstruction
Unable to push past
feet
Entered St at
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Final Cleanout:t
Pink Copy: SEH