2097 Emerald Lane - Inspection FormResidential Sanitary Sewer Service
a f Compliance Inspection
Date.
Name
House Number
MD Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump pr'oper'ly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition fi/
Owner /Occupant Signature
Service Lateral Inspection Findin
Roots
Poor Pipe Joints
4" to 6" Transition:
White Copy: Proper ty Owner
am
Time • pm
Disk #i
f
' / ?i
Street Name F /�! 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
Length of Service:
Yellow Copy: City of Eagan
Record Number l
Phone ,
Obstruction
Unable to push past
feet
Number of stacks 7,M Entered S.L.at
4—
Inspector nature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
A
2,942
Pink iCopy: SEH
Total
Notes
6/ : r E
ir' (..-
• . f
- --,
- .:, g 1 O
' 'r !
�?
1
�°
� .,
!/
`' Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
0
Foundation drains
Roof drains
Residential Sanitary Sewer Service
a f Compliance Inspection
Date.
Name
House Number
MD Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump pr'oper'ly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition fi/
Owner /Occupant Signature
Service Lateral Inspection Findin
Roots
Poor Pipe Joints
4" to 6" Transition:
White Copy: Proper ty Owner
am
Time • pm
Disk #i
f
' / ?i
Street Name F /�! 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
Length of Service:
Yellow Copy: City of Eagan
Record Number l
Phone ,
Obstruction
Unable to push past
feet
Number of stacks 7,M Entered S.L.at
4—
Inspector nature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
A
2,942
Pink iCopy: SEH