2030 Emerald Lane - Inspection FormCompliance
0 No foundation drain connection
Ar No roof drain connection
• \
0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
For information call 65 IA70.2788
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Non-Compliance
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
\ .4
Service Lateral Inspection Findings Number of stacks / Entered S L at J Thre;:k ('2
RootsZ I 2 1 i , c* 7-
1 /
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: 141,16-,,,,,,iy Length of Service: Final Cleanout:
Nu
Number
Correctly
Discharged
Notes
1 c -f - r /-
i • Ci ..
A " '' --....:•°).) .
41 r) ,,c--
Total
I ncor r ectly
Unknown
Sump pumps
Foundation drains
N. /
P \•:-.------"'"')
Roof drains
City talan
Residential Sanitary Sewer Service
Compliance Inspection
Date OK' / i-r
Name /woe
PO Number
House Number
Alternative Mailing Address
White Copy: Proper ty Owner
• Li am
Time ('7.c 0 pm
Disk #
OwnerlOccupant Signature
0
Street Name
Yellow Copy: City of Eagan
Record Number
0
Time 7
• 7
•
earn
0 pm
Pepe c4f;;;: - s _ /7 2
Insgectar Signature
Pink Copy: SEH