1936 Carnelian Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date 1
Name , ' r
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1'
�4
No sump pump
1
Sag /Pipe Deflection
Damaged Pipe
Transition
I
4" to 6 "Transition:
L fir
White Copy: Property Owner
am
Time -. pm
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots C, , .
Poor Pipejoints,
Mineral Deposits
Street Name
1
Length of Service:
f
Yellow Copy: City of Eagan
Record Number
Time , >
Phone
Notes
•
am
0 pm
Inspector Signature
For information call 65 470 2788
Obstruction No Access
Non - Compliance
t3 Clear water connections to Unable to push past
J
feet
sanitary sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks '."( Entered S at
O No one in
O Access to service .
lateral needed
O Inspection
refused
Final Cleanout:
i
.y rJ „�^ J� f , f a -. c3 f
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
° ,
Unknown
Total
Sump pumps
L` .
/
Foundation drains
_
! j�
1 ' ,.. ._
! ' i
'�
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name , ' r
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1'
�4
No sump pump
1
Sag /Pipe Deflection
Damaged Pipe
Transition
I
4" to 6 "Transition:
L fir
White Copy: Property Owner
am
Time -. pm
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots C, , .
Poor Pipejoints,
Mineral Deposits
Street Name
1
Length of Service:
f
Yellow Copy: City of Eagan
Record Number
Time , >
Phone
Notes
•
am
0 pm
Inspector Signature
For information call 65 470 2788
Obstruction No Access
Non - Compliance
t3 Clear water connections to Unable to push past
J
feet
sanitary sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks '."( Entered S at
O No one in
O Access to service .
lateral needed
O Inspection
refused
Final Cleanout:
i
.y rJ „�^ J� f , f a -. c3 f
Pink Copy: SEH