2054 Coral Lane - Inspection FormCity pi I O
Residential Sanitary Sewer Service
Compliance Inspection
▪ )
Date / f
lI 1 � ly +, Time
Name ( 2 0 , ) 1 / < 7 7 Disk #
PlD Number
House Number
Alternative Mailing Address
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
Mineral Deposits
-
Sag / Deflection
4" to 6 "Transition:
White Copy: Property Owner
---J- Street Name
Ownerldcpant Signature
Service Lateral Inspection Findin
Roots 27' ✓
1✓ 1
5 , :�ia am
• 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
•
:7
For information call 651 470.2788
Poor Pipe Joints
umber of stacks
Damaged Pipe
Transition ° %- ! .I 22)
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Notes
Inspector Signature
Obstruction
Unable to push past
feet,
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
F Cleanout:
,f
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
`
`)
Roof drains
City pi I O
Residential Sanitary Sewer Service
Compliance Inspection
▪ )
Date / f
lI 1 � ly +, Time
Name ( 2 0 , ) 1 / < 7 7 Disk #
PlD Number
House Number
Alternative Mailing Address
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
Mineral Deposits
-
Sag / Deflection
4" to 6 "Transition:
White Copy: Property Owner
---J- Street Name
Ownerldcpant Signature
Service Lateral Inspection Findin
Roots 27' ✓
1✓ 1
5 , :�ia am
• 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
•
:7
For information call 651 470.2788
Poor Pipe Joints
umber of stacks
Damaged Pipe
Transition ° %- ! .I 22)
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Notes
Inspector Signature
Obstruction
Unable to push past
feet,
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
F Cleanout:
,f
Pink Copy: SEH