2066 Copper Lane - Inspection FormCity of Eap n
Residential Sanitary Sewer Service
Compliance Inspection
Date &/ 1 /7/ d�c
!Jame ,5 ,67°,01
PID Number
House Number Street Name
Alternativ Mailing Addr ss
Compliance
,CVNo foundation drain connection
r f
4" to 6 "Transition:
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
Ownerloccupant Signature
Tim e 5 of' Pm
Disk #
Non - Compliance
0
O
O
O
0
Service Lateral Inspection Findings
l/
?] L'L1 -[LE
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:
Yellow Copy: City of Eagan
Record Number
Phi
Time
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L at
Roots
Poor Pipe]oints
Mineral Deposits
—7
•
s
hispector Signature
' "<
Final Cleanout:
O An?
$fpm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Sag /Pipe Deflection
Damaged Pipe
far // n . C%'''�'✓'
Transition I r''`te �''�t,.� - 3 1. ~-' � r �'-- � ���"_ >�'�` r � /
Pink Copy: SEH
NurriFber
Correctly
Notes
Discharged
Total
incorrectly Unknown
Sump pumps
.,-
Foundation drains
Roof drains
'
' f
City of Eap n
Residential Sanitary Sewer Service
Compliance Inspection
Date &/ 1 /7/ d�c
!Jame ,5 ,67°,01
PID Number
House Number Street Name
Alternativ Mailing Addr ss
Compliance
,CVNo foundation drain connection
r f
4" to 6 "Transition:
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
Ownerloccupant Signature
Tim e 5 of' Pm
Disk #
Non - Compliance
0
O
O
O
0
Service Lateral Inspection Findings
l/
?] L'L1 -[LE
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:
Yellow Copy: City of Eagan
Record Number
Phi
Time
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L at
Roots
Poor Pipe]oints
Mineral Deposits
—7
•
s
hispector Signature
' "<
Final Cleanout:
O An?
$fpm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Sag /Pipe Deflection
Damaged Pipe
far // n . C%'''�'✓'
Transition I r''`te �''�t,.� - 3 1. ~-' � r �'-- � ���"_ >�'�` r � /
Pink Copy: SEH