2051 Copper Lane - Inspection FormCal of to
Residential Sanitary Sewer Service
Compliance Inspection
Date1 1 !)`
Name
PID Number.
Alternative MailingAddress
r
xf Owner/Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Roots
Disk#
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Jf Cin 1 •' Si
Transition t ! f ' / ? ' " %
17/
4" to 6"Transition: --_., -
White Copy: Property Owner
• am
Time • pm
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:
Record Number
House Number Street Name
Time •
•
Phone .._
)-
am
pm
—(f 14
For information call 651:470.2788
Notes
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks_ Entered S.L at ) .
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
f 1
Foundation drains
7
Roof drains
F "
'
f
Cal of to
Residential Sanitary Sewer Service
Compliance Inspection
Date1 1 !)`
Name
PID Number.
Alternative MailingAddress
r
xf Owner/Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Roots
Disk#
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Jf Cin 1 •' Si
Transition t ! f ' / ? ' " %
17/
4" to 6"Transition: --_., -
White Copy: Property Owner
• am
Time • pm
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:
Record Number
House Number Street Name
Time •
•
Phone .._
)-
am
pm
—(f 14
For information call 651:470.2788
Notes
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks_ Entered S.L at ) .
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH