2079 Coral Lane - Inspection FormCity of Eapa
Residential Sanitary Sewer •Service
Compliance inspection
Date . j
z!..4 /
PID Number
House Number
Alternative MailingAddress
Compliance
O No foundation drain connection
,
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
No roof drain connection
Service Later al inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
OwnerlOccupant Signature
4" to 6" Transition:
White Copy: Property Ownei
) ts ,
am
Time 4
/ pm
Disk #
Street Name
Yellow Copy: City of Eagan
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Phone
Record Number
Notes
• '3/ c
am
Time 6 pm
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
)
'-
Inspector Signature
No Access
O No one in
O Inspection
refused
For information call 651.470.2788
O Access to service
lateral needed
O Flexible sump pump piping
Number of stacks Entered S L at •
),- • .4'
' • I A, } L "-)
Pink Copy: SEH
1
/1
Number
Correctly
•
Discharged
Incorrectly
-
Unknown
Total
Sump pumps
..
,
,
Foundation drains
Roof drains
City of Eapa
Residential Sanitary Sewer •Service
Compliance inspection
Date . j
z!..4 /
PID Number
House Number
Alternative MailingAddress
Compliance
O No foundation drain connection
,
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
No roof drain connection
Service Later al inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
OwnerlOccupant Signature
4" to 6" Transition:
White Copy: Property Ownei
) ts ,
am
Time 4
/ pm
Disk #
Street Name
Yellow Copy: City of Eagan
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Phone
Record Number
Notes
• '3/ c
am
Time 6 pm
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
)
'-
Inspector Signature
No Access
O No one in
O Inspection
refused
For information call 651.470.2788
O Access to service
lateral needed
O Flexible sump pump piping
Number of stacks Entered S L at •
),- • .4'
' • I A, } L "-)
Pink Copy: SEH
1
/1