2054 Copper Lane - Inspection Formfbok.
111111 'F
Residential Sanitary Sewer Service
• •
Compliance Inspection
Date ..7/
Name
PID Number
House Number
Alternative MailingAddress
For information call 651.470/788
Compliance
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 In..5pection Findin
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
r
Transition
4" to 6" Transition:
White Copp Proper ty Owner
e arri
Time Opm
#
OwnerlOcc6nt Signature
7
"Street Name (" '7 012'
77,
Phone
Non-Compliance
Z_CJ 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 of stacics E
41. <";
7
•••■
,/
Length of Service:
Yellow Copy: City of Eagan
Record Number
p, Time
Obstruction
Unable to push past
feet
dLJat
Damaged Pipe
)
•
Inspector Signature
am
0 pm
No ACCCSS
O No one in
Final Cleanout: f
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Cor rectly
Discharged:
Incorrectly
.
. . Notes
Total
Unknown
..-/ -)
-
- - - 17/
1 . vi . -- 7 , .. ,_ . ,, ). - _...- •
i , A
2 i --------- il 21...4:: i 7/
Sump pumps
Foundation drains
1
1
---,_____
__,---------
,
Roof drains
•_,
. /72"
fbok.
111111 'F
Residential Sanitary Sewer Service
• •
Compliance Inspection
Date ..7/
Name
PID Number
House Number
Alternative MailingAddress
For information call 651.470/788
Compliance
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 In..5pection Findin
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
r
Transition
4" to 6" Transition:
White Copp Proper ty Owner
e arri
Time Opm
#
OwnerlOcc6nt Signature
7
"Street Name (" '7 012'
77,
Phone
Non-Compliance
Z_CJ 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 of stacics E
41. <";
7
•••■
,/
Length of Service:
Yellow Copy: City of Eagan
Record Number
p, Time
Obstruction
Unable to push past
feet
dLJat
Damaged Pipe
)
•
Inspector Signature
am
0 pm
No ACCCSS
O No one in
Final Cleanout: f
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH