2041 Emerald Lane - Inspection FormSump pumps
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Foundation drains
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-"
Roof drains
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Cityi'Ea
Residential Sanitary. Sewer Service
Compliance Inspection
Date ai Z.?/ `c7
Name m ' /7//
PID Number
House Number ,'" Street Name & 7 ./
Alternative MailingAddress
„owner /Occupant Signature
Compliance
No foundation drain connection
P Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
7 - No sump pump
Service Lateral inspection Findings
Roots �.5�. 7 0
Poor Pipe Joints
Mineral Deposits 3
Sag /Pipe Deflection
Damaged Pipe
Transition L i /A i `t
White Copy: Property Owner
Time • f am
/ p:
Disk #
• .r
J -GL1
1
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
Number of stacks #
4" to 6" Transition: Jpo f .. 7 Length of Service:
Yellow Copy: City of Eagan
Record Number
\i
• ,-am
Time ,/2 • O pm
a
/ 4
t 7/-I
/ Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L at
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH