2116 Carnelian Lane - Inspection FormSump pumps
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7--
Foundation drains
Roof drains
r City ni faun
Re sidential Sanitary Sewer Service
Compliance inspection
Name
Date;:
4" to 6" Transition:
Time •
White Copy: Property Owner
Disk ##
PID Number
House Number ) ! (� Street Name
Alternative Mailing Address
vrf
OwnerlOccupanrSignature
For information call 65
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
/ sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
2 71,
Roots -- 4°7- --
Total
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
Corr ectly
am
Pm
Number of stacks
Number Discharged
Incorrectly Unknown
Record Number
Length of Service:
... O am
Time • pm
Phone
inspector Signature
Obstruction
Unable to push past
feet
Entered St at ' ' °`
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ▪ � -
r T
11
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
✓� Lam:
Notes /
- f = > 1 � ( )6 - / ?1Ae i ?/�
Yellow Copy: City of Eagan. Pink Copy: SEH