2113 Emerald Lane - Inspection FormCity of Ea
Residential Sanitary Sewer Service
Compliance Inspection
Date e7, 1 4 I ,/ ,1
Name
HD Number
House Number . // _ C Street Name
Alternative Mailing Address
. 4 ! ? fir P
" Yccuparrt Signature
For information call 651.470.2788
orpliance
No foundation drain connection
No roof drain connection
v �
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots 70 . 7a
Poor Pipe Joints
Mineral Deposits ;0 -
J r7
Sag /Pipe Deflection
Damaged Pipe
Transition i / t
4" to 6" Transition:
White Copy: Property Owner
• oam
Time A. • op.
Disk #
0
Number of stacks
, f d Length of Service:
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
Yellow Copy: City of Eagan
Record Number
P�ion / :(''7 � �° /Z • r'
•
0
0 a
Time /.) • & 2 .fir pm
i
Inspector Signature'
Obstruction
Unable to push past
feet
Entered S L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: 1 f ` +
Pink Copy: SEH
Nu rtiber.
Correctly
Discharged
incorrectly
Notes
Total
Unknown
r
Sump pumps
rr
-.-
_
<.-°..---
Foundation drains
T-/
Roof drains
(
__._..
_._
City of Ea
Residential Sanitary Sewer Service
Compliance Inspection
Date e7, 1 4 I ,/ ,1
Name
HD Number
House Number . // _ C Street Name
Alternative Mailing Address
. 4 ! ? fir P
" Yccuparrt Signature
For information call 651.470.2788
orpliance
No foundation drain connection
No roof drain connection
v �
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots 70 . 7a
Poor Pipe Joints
Mineral Deposits ;0 -
J r7
Sag /Pipe Deflection
Damaged Pipe
Transition i / t
4" to 6" Transition:
White Copy: Property Owner
• oam
Time A. • op.
Disk #
0
Number of stacks
, f d Length of Service:
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
Yellow Copy: City of Eagan
Record Number
P�ion / :(''7 � �° /Z • r'
•
0
0 a
Time /.) • & 2 .fir pm
i
Inspector Signature'
Obstruction
Unable to push past
feet
Entered S L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: 1 f ` +
Pink Copy: SEH