2067 Coral Lane - Inspection FormCity of ideal
Residential. Sanitary Sewer Service
Compliance Inspection
Date (27l C. / /2
Name ? ,•' J f:�t/
PID Number
House Number 2 - Street Name
Alternative Mailing Address
' t
Owner /Occupant Signature
For information call 651
Comiance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks ( Entered S L at J7)4C2 C
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: /' -P h of Service:
Sump pumps
Foundation drains
Roof drains
Total
Time o Pm
Disk #
Correctly
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
Number Discharged
•
Unknown
White Copy: Property Owner Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
6 <f t7 o am
Time O ' _4b pm
Pho 6 c/i
� / 7 f
f;firspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes 0 f i e / &
Pink Copy: SEH