2009 Emerald Lane - Inspection Form4 11111111. City of Ca op
Residential Sanitary Sewer Service
Compliance Inspection
Date 67( /2/ /2 Time /
Name —1 1 Disk #
Pip Number
House Number 7e -;(J 5
Street Name
Owner /Occupant Signature
Compliance
t o foundation drain connection
T)LV roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
le No sump pump
0
Alternative Mailing Address
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits 6
Sag /Pipe Deflection ZS
,Damaged Pipe
Transition
4" to 6 "Transition: Length of Service: , -
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number . 4 7
e> , o am
Time � � ,� pm
r
:
-- fri`spector Signature?
Obstruction
Unable to push past
feet
Entered S. at f'lf'
" _
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy SEH
Number
Correctly
Discharged
Incorrectly Unknown
N otes y ,_ vjv ,, �,,,G �� _ :1„
. y {'; -
/: 4 r ' f .
(f // _
r f .�
r 1
Total
Sump pumps
_...__---_ -___
Foundation drains
..WS
`-
Roof drains
_._,_
,z._._...
4 11111111. City of Ca op
Residential Sanitary Sewer Service
Compliance Inspection
Date 67( /2/ /2 Time /
Name —1 1 Disk #
Pip Number
House Number 7e -;(J 5
Street Name
Owner /Occupant Signature
Compliance
t o foundation drain connection
T)LV roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
le No sump pump
0
Alternative Mailing Address
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits 6
Sag /Pipe Deflection ZS
,Damaged Pipe
Transition
4" to 6 "Transition: Length of Service: , -
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number . 4 7
e> , o am
Time � � ,� pm
r
:
-- fri`spector Signature?
Obstruction
Unable to push past
feet
Entered S. at f'lf'
" _
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy SEH