2060 Emerald Lane - Inspection FormCity Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date / i f /) /
Name 7 / - / 1 - 17":"'" — Disk #
PID Number
House Number ,( Street Name
Alternative Mailing Address
4" to 6" Transition:
1L 'wi 4 M7
OwnerlOccupant Signature
•
Time •
For information ;call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,I No sump pump
Non - Compliance
0
O
O
O
0
Poor Pipe Joints _ 4" / /7- -----
Mineral Deposits
-_Pipe Deflection
Damaged Pipe
Transition i [7
am
pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Ser vice Lateral Inspection Findngs Number of stacks
Roots 77, ,' � , i- /
Length of Ser vice:
White Copy: Propeity Owner
Record Number
Phone / ?'.
Inspector Signature
Obstruction
Unable to push past
feet
0 a
PM
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S -ii'��
No,e _ f
e .
I
Final Cleanout:
f4'
Yellow Copy: City of Eagan Pink Copy: SEH
Number;
Discharged
Total
Cor rectly
Incorrectly
Unknown
Sump pumps
()
Foundation drains
Roof drains
LJ
City Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date / i f /) /
Name 7 / - / 1 - 17":"'" — Disk #
PID Number
House Number ,( Street Name
Alternative Mailing Address
4" to 6" Transition:
1L 'wi 4 M7
OwnerlOccupant Signature
•
Time •
For information ;call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,I No sump pump
Non - Compliance
0
O
O
O
0
Poor Pipe Joints _ 4" / /7- -----
Mineral Deposits
-_Pipe Deflection
Damaged Pipe
Transition i [7
am
pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Ser vice Lateral Inspection Findngs Number of stacks
Roots 77, ,' � , i- /
Length of Ser vice:
White Copy: Propeity Owner
Record Number
Phone / ?'.
Inspector Signature
Obstruction
Unable to push past
feet
0 a
PM
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S -ii'��
No,e _ f
e .
I
Final Cleanout:
f4'
Yellow Copy: City of Eagan Pink Copy: SEH