2059 Coral Lane - Inspection FormResidential Sanitary Sewer Service `.
Compliance Inspection
c
Date /
Name _TA r i Zf/ k
Alternative Mailing Address
4
/
•
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ Nlo sump pump
4" to 6 "Transition: he
White Copy: Property Ownei
Time 7(/
Disk #
OwnerlOccupant Signature
Service Lateral Inspection Findings
Roots
5
PID Number
House Number- � Street Name _ ��Jzt &('
No Compliance
Clear water conn ctions to
sanitary sewer /' T
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
7 Length of Service:
Record Number
PhOe
7/ . 7 2
oration call 651.4701788
Obstruction
Unable to push past
feet
Number of stacks Entered S,L,at -- (
Notes
o am
Time / ® S pm
%inspector Signature
0 6 t
6 t /
'.
No Access
O No one in
Final Cleanout: ,''
O Access to service
lateral needed
O Inspection
refused
r
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Cor rectly
Incorrectly
Unknown
Sump pumps
Foundation drains
:
OT
Roof drains
Residential Sanitary Sewer Service `.
Compliance Inspection
c
Date /
Name _TA r i Zf/ k
Alternative Mailing Address
4
/
•
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ Nlo sump pump
4" to 6 "Transition: he
White Copy: Property Ownei
Time 7(/
Disk #
OwnerlOccupant Signature
Service Lateral Inspection Findings
Roots
5
PID Number
House Number- � Street Name _ ��Jzt &('
No Compliance
Clear water conn ctions to
sanitary sewer /' T
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
7 Length of Service:
Record Number
PhOe
7/ . 7 2
oration call 651.4701788
Obstruction
Unable to push past
feet
Number of stacks Entered S,L,at -- (
Notes
o am
Time / ® S pm
%inspector Signature
0 6 t
6 t /
'.
No Access
O No one in
Final Cleanout: ,''
O Access to service
lateral needed
O Inspection
refused
r
Yellow Copy: City of Eagan Pink Copy: SEH