1920 Carnelian Lane - Inspection FormSump pumps
X
Foundation drains
%" 1
Roof drains
L_.-/
v
[Lpt
City of F i ut
Residential Sanitary Sewer Service
Compliance Inspection
Date 1/ IL �.
Name
House Number _
Alternative MailingAddress
Disk#
PID Number
Compliance
No foundation drain connection
No roof drain connection
0' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 " Transition:
White Copy: Propel ty Owner
_ ..f am
Time �''f • p
r Street Name
Total Correctly
•
/ _
OwnerlOccupant Signature
S Pipe Deflection
Poor Pipe Joints
Mineral Deposits
kt LJ-[TF '
For information call 65
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
Defective manholes
Sump pump connected to sanitary
f sewer
O Flexible sump pump piping
Length of Service:
Number Discharged
Incorrectly Unknown ..
Yellow Copy: City of Eagan
Record Number
• 5�1 0 am
Time - ' ® `o pm
Phone L L? _. ' _ �,_.
inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
Service Lateral Inspection Findings Number of stacks 'f Entered S L at
Roots . _.; _ - 7" -
Damaged Pipe
Transition
Final Cleanout:
Notes
,- ? � �`
s
.� f'7 i �- J.'L._ it L-
O Access to service
lateral needed
O Inspection
refused
± r C A'
) 6- lC
Pink Copy: SEH