2021 Carnelian Lane - Inspection FormCity of tap
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name J 2 Disk #
W
PID Number
House Number
Alternative Mailing Address
White Copy: Property Owner
� t
a% -0 am
Time fl > • .o pm
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q No sump pump
4" to 6" Transition:
%/t
/ Street Name
For information call 65 .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 i
Roots `
i
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe _
Tr 31�t �-.(
r ...
/7'),
Length of Service:
Record Number
9 i • am
Time L 1 e Pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Z rf
Entered S.L.
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Number.
Correctly
Discharged
incorrectly
Unknown
Total
Sump pumps
ri
Foundation drains
i
`
Roof drains
City of tap
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name J 2 Disk #
W
PID Number
House Number
Alternative Mailing Address
White Copy: Property Owner
� t
a% -0 am
Time fl > • .o pm
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q No sump pump
4" to 6" Transition:
%/t
/ Street Name
For information call 65 .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 i
Roots `
i
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe _
Tr 31�t �-.(
r ...
/7'),
Length of Service:
Record Number
9 i • am
Time L 1 e Pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Z rf
Entered S.L.
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH