2068 Coral Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date .
J
1 ' ( �" i ' Disk #
Name /� .•��! � .
(J
White Copy:1'roperty Owner
• 7) am
Time • Pm
PID Number ---
House Number
�{ > Street Name
Al ernative Mailing Address
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not Connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Ins eectionFindings
Roots r()
Poor Pipe joints
Mineral Deposits �--- — •
Sag /Pipe Deflection__ —---
Damaged Pipe • --; - i� -----
Transition`'' =—
No - Compliance
Clear water connections to
� -i i
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
i Number of stacks Entered S L , ��
Obstruction
Unable to push past
feet
No one in
Access to service
lateral needed
For information ;call 651.470.2788
Number Discharged
Yellow Copy: City of Eagan
Record Number
Inspector Signature
Notes
- ti
11 '�° # le ' '
Phone
•
Time 5 o — P am m
Pink Copy: 5EH