2077 Emerald Lane - Inspection FormSump pumps
'
Foundation drains
/
a
Roof drains
City 01 Eapii
Residential Sanitary Sewer Service
Compliance Inspection
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
cY No sump pump
White Copy: Property Owner
Total
Time _. •
Name .%> Disk#
PID Number
Street Name
OwrrerlOccupant Signature.
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'Transition .11` 79
7
4" to " Transition: 77
am
Pm
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
Service Lateral Inspe� ion Findings _ / Number of stacks
Roots r 1 C ' -- ( ' t — � I
ry .-- a
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
am
Time • � $ pm
Phone (. .w . _ /
Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
! Entered S L at
f
O Access to service
lateral needed
O Inspection
refused
n 1`
l 4-1 2 - -- Final
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Notes
Pink Copy: SEH