2075 Coral Lane - Inspection FormCity ill EaTda
Residential Sanitary Sewer Service
Compliance Inspection
Date 46 l 30
Name rrf /ei ;11 Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651
Compliance
0 foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
IP No sump pump
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
€t
Time • G '0 pm
Owner/Occupant Signature
(7
Length of Service:
1
Street Name v �r "
• /(
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
Yellow Copy: City of Eagan
Record Number
9
Time
••
Inspector Signature
Obstruction
Unable to push past
feet.
Notes
(1 Lg
(
0 pm
Phone 17_2_1/7 (1r '- --
37/16-K
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: / --
f
fr✓ r� 0/f r
Pink Copy: SEH
Total
Number. Discharged
Correctly Incorrectly
�• °.., -
Unknown
Sump pumps
-/
Foundation drains
%"'
Roof drains
r
_--
w_..__..__.__
. -.._
City ill EaTda
Residential Sanitary Sewer Service
Compliance Inspection
Date 46 l 30
Name rrf /ei ;11 Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651
Compliance
0 foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
IP No sump pump
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
€t
Time • G '0 pm
Owner/Occupant Signature
(7
Length of Service:
1
Street Name v �r "
• /(
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
Yellow Copy: City of Eagan
Record Number
9
Time
••
Inspector Signature
Obstruction
Unable to push past
feet.
Notes
(1 Lg
(
0 pm
Phone 17_2_1/7 (1r '- --
37/16-K
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: / --
f
fr✓ r� 0/f r
Pink Copy: SEH