2132 Carnelian Lane - Inspection Form4
City of 1ayr
Residential Sanitary Sewer° Service
Compliance Inspection
Date (-. / /r 1 /
Name r, -W ' C r_ Disk#
L.
_ 2 �AI
rte, €
PID Number
House Number
Alternative Mailing Address
' - * / ;"77 :—/1
Owner /Occupant Signature
Compliance
0/No foundation drain connection
ik o roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
i Street Name
Service Lateral Inspect; n Finding
Roots rf 1 ,+ , 6 !
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition r
4” to 6" Transition:
White Copy: Pr operty Owner
• ,am
Time • o pm
0
0J-1i
Yellow Copy: City of Eagan
Record Number C f`
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
Length of Service: {
Y
/ ) f ' m
Time / • #e p pm
Phone 4 ,') 7 7
inspector Signature
For information call 651:470.2788 !'
Obstruction
Unable to push past
feet
'
nal Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH
l
Total
Notes a L '_ 4„,„�
: fd 4 ;, 7 0 / „t-,./ �,
Number
Discba
ged
Correctly
Incorrectly
Unknown
Sump pumps
-. __._._._
Foundation drains
--
—
___ _ __._._.___.__
Roof drains
.
,,
-_. ._..._
4
City of 1ayr
Residential Sanitary Sewer° Service
Compliance Inspection
Date (-. / /r 1 /
Name r, -W ' C r_ Disk#
L.
_ 2 �AI
rte, €
PID Number
House Number
Alternative Mailing Address
' - * / ;"77 :—/1
Owner /Occupant Signature
Compliance
0/No foundation drain connection
ik o roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
i Street Name
Service Lateral Inspect; n Finding
Roots rf 1 ,+ , 6 !
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition r
4” to 6" Transition:
White Copy: Pr operty Owner
• ,am
Time • o pm
0
0J-1i
Yellow Copy: City of Eagan
Record Number C f`
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
Length of Service: {
Y
/ ) f ' m
Time / • #e p pm
Phone 4 ,') 7 7
inspector Signature
For information call 651:470.2788 !'
Obstruction
Unable to push past
feet
'
nal Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Pink Copy: SEH