2019 Coral Lane - Inspection Formr'City of FaR4!
Residential Sanitary Sewer Service
Compliance Inspection
Date 711 d/2
Name
J erre
PID Number '
House Number
Alternative MailingAddress
Roots
Poor PipeJoints
Mineral Deposits
4" to 6" Transition:
White Copy: Property Owner
/ 'wner
l0[
Compliance
O F foundation drain connection
R. /No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
C No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
'Transition r �'
O am
Time /</:70 . w pm
Disk #
Street Name
want Signatur -
O
O
O
O
O
For information call .651.470.2788
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
LLkJ
Yellow Copy: City of Eagan
Record Number
41./ / f
Ph ne( f3) / ( ' , g' 19 er'
y If l
i f
Obstruction
Unable to push past
feet
Entered S.L..at
/inspector Signature
Notes
E
Time
O am
•
4J Fm
Final Cleanout:
No Access
O No one in
N"Ii r
O Access to service
lateral needed
O inspection
r efused
Piink Copy: SEH
Total
Number.Diischa
ged
Correctly
Incorrectly
Unknown
Sump pumps
_
� .�_
.,._ -__ _.___,-.
Foundation drains
(- .
- - - - -.
__._
Roof drains
_ .
___._...._.
r'City of FaR4!
Residential Sanitary Sewer Service
Compliance Inspection
Date 711 d/2
Name
J erre
PID Number '
House Number
Alternative MailingAddress
Roots
Poor PipeJoints
Mineral Deposits
4" to 6" Transition:
White Copy: Property Owner
/ 'wner
l0[
Compliance
O F foundation drain connection
R. /No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
C No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
'Transition r �'
O am
Time /</:70 . w pm
Disk #
Street Name
want Signatur -
O
O
O
O
O
For information call .651.470.2788
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
LLkJ
Yellow Copy: City of Eagan
Record Number
41./ / f
Ph ne( f3) / ( ' , g' 19 er'
y If l
i f
Obstruction
Unable to push past
feet
Entered S.L..at
/inspector Signature
Notes
E
Time
O am
•
4J Fm
Final Cleanout:
No Access
O No one in
N"Ii r
O Access to service
lateral needed
O inspection
r efused
Piink Copy: SEH