2019 Shale Lane - Inspection FormCity alkali
Residential Sanitary Sewer Service
Compliance Inspection
Dat
4
Name
PID Number
Poor PipeJoints
I
Alternative Mailing Address
4" to 6 "Transition:
l -E Disk #
j
House Number / Street Name 2
White Copyr Proper ty Owner
am
Time \ "•. , pm
OwnerlOccupant Signature
Compliance
No foundation drain connection
/ ai ' / No roof drain connection
0 Sump pit not connected to
sanitary sewer
O 1 Sump pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
777
i r
Transition i / 1:"
7
For information call 651:470.2788
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
Service Lateral 1n Findings Number of stacks —
Entered 5•L.at "" Yt"
Roots
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time _...
• 6 Pm
Phone ; .
7
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
f
/;
Pink Copy: SEH
Number Discharged
Notes
Total
Corr ectly
lncor•rectly Unknown
Sump pumps
/ ,
J ‘
Foundation drains
I
om .
Roof drains
/7
! . ,/,`
City alkali
Residential Sanitary Sewer Service
Compliance Inspection
Dat
4
Name
PID Number
Poor PipeJoints
I
Alternative Mailing Address
4" to 6 "Transition:
l -E Disk #
j
House Number / Street Name 2
White Copyr Proper ty Owner
am
Time \ "•. , pm
OwnerlOccupant Signature
Compliance
No foundation drain connection
/ ai ' / No roof drain connection
0 Sump pit not connected to
sanitary sewer
O 1 Sump pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
777
i r
Transition i / 1:"
7
For information call 651:470.2788
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
Service Lateral 1n Findings Number of stacks —
Entered 5•L.at "" Yt"
Roots
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time _...
• 6 Pm
Phone ; .
7
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
f
/;
Pink Copy: SEH