2097 Copper Lane - Inspection FormCity of liap
Residential Sanitary Sewer Service
Compliance Inspection
Date / /
Name )
PID Number
House Number �! i Street Name _ 1.•-• i �.�`�1
r
'— . J f }
Alternative Mailing Address ... Phone'
E
-)6 ;if am
Time 7 . pm
Ownerl0ccupant Signature
1
For information call 651:4
Compliance
No foundation drain connection
No roof drain connection
5
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition: f!
White Copy: Property Owner
Non - Compliance
Sag /Pipe Deflection
Damaged Pipe
l ^f
'Transition
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
•
Service Later l Findp gs f / Number of stacks
Roots / .'o -411""
Poor Pipe Joints
Mineral Deposits
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Entered S L at " m -.._�
am
Time . ® Pm
Inspector Sig ure
No Access
O No one in
O Access to service
lateral needed
O inspection
r efused
Final Cleanout: ()/
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
y ,
Total
Sump pumps
drains
il Foundation
c_
Roof drains
i�
� -- /-5
City of liap
Residential Sanitary Sewer Service
Compliance Inspection
Date / /
Name )
PID Number
House Number �! i Street Name _ 1.•-• i �.�`�1
r
'— . J f }
Alternative Mailing Address ... Phone'
E
-)6 ;if am
Time 7 . pm
Ownerl0ccupant Signature
1
For information call 651:4
Compliance
No foundation drain connection
No roof drain connection
5
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition: f!
White Copy: Property Owner
Non - Compliance
Sag /Pipe Deflection
Damaged Pipe
l ^f
'Transition
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
•
Service Later l Findp gs f / Number of stacks
Roots / .'o -411""
Poor Pipe Joints
Mineral Deposits
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Entered S L at " m -.._�
am
Time . ® Pm
Inspector Sig ure
No Access
O No one in
O Access to service
lateral needed
O inspection
r efused
Final Cleanout: ()/
Pink Copy: SEH