1924 Carnelian Lane - Inspection FormSump pumps
Foundation drains
; j
Roof drains
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City of. alga
Residential Sanitary Sewer Service
Compliance Inspection
Date / � / f Time
i , Disk # \ / ,r?r"� r
Name I 1
PID Number
am
0 P
House Number J -- Street Name r! .._Ir" l � (:.- -- 27) C ! �'
Phone c� > ' -w,.>
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
, k / Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks Entered S L at
�..
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 1�.�
4" to 6 "Transition: /7 7 '- 7
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
d
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number • i
Obstruction
Unable to push past
feet
Notes
%i
Time
E
Inspector Signature
am
o Pm
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
r - Final Cleanout: 17
Pink Copy: SFH