2074 Shale Lane - Inspection FormSump pumps
Foundation drains
.
Roof drains
1N�o I
City i.t F a iii
Residential Sanitary Sewer Service
Compliance Inspection
Alternative Mailing Address
Compliance
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Roots
Poor Pipe Joints
4" to 6" Transition: I f /
White Copy: Proper ty Owner
0
]
Time • •
Date // / / / (
f
Name Disk#
PID Number
° 2
House Number. . f Street Name
Owner /Occupant Signature
am
Pm
Non - Compliance
For information. call 651.470.2788
O No foundation drain connection 0 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
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe i
e.
Transition r r % -r. J -
Length of Service:
Service Lateral Inspection Findings Number of stacks f Entered S L at
Total
Correctly
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number °! .
Notes
Phone 1 ..
Inspector Signature
Obstruction
Unable to push past
feet .
f f
Final Cleanout:
it rn /1 4 I
Veg
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH