2036 Coral Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date'97/ /2"/
r1
Name , jam : L f ?! ✓] Disk #
PID Number
House Number
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:,;; ~'
White Copy: Property Owner
� oarn
Time /f? • - /fs c ep
Alterna } five, Maili ng Address
f '� S
y r /
/ ✓ ` " i/ L ,-°' -----
Owner`TOc2u + ant Signature
Street Name
0 21-
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
3
--E1
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
Record Number
V,- J
>?i -i on / /;flJfL 7 "_. .s'
iJ ' J l j /
1 In . ,...
j
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
r feet
Service Lateral Inspection Findings Number of stacks / Entered S.L at <
Roots
Poor Pipe Joints
Length of Service: i' -✓ ''� Final Cleanout:
Notes
f / ® f� o am
Time /7) • 9 ��
o 3 7 / (1V o -:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t
./
: E
Yellow Copy: City of Eagan Pink Copy: SFH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Sri/
Roof drains
t/
Residential Sanitary Sewer Service
Compliance Inspection
Date'97/ /2"/
r1
Name , jam : L f ?! ✓] Disk #
PID Number
House Number
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:,;; ~'
White Copy: Property Owner
� oarn
Time /f? • - /fs c ep
Alterna } five, Maili ng Address
f '� S
y r /
/ ✓ ` " i/ L ,-°' -----
Owner`TOc2u + ant Signature
Street Name
0 21-
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
3
--E1
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
Record Number
V,- J
>?i -i on / /;flJfL 7 "_. .s'
iJ ' J l j /
1 In . ,...
j
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
r feet
Service Lateral Inspection Findings Number of stacks / Entered S.L at <
Roots
Poor Pipe Joints
Length of Service: i' -✓ ''� Final Cleanout:
Notes
f / ® f� o am
Time /7) • 9 ��
o 3 7 / (1V o -:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t
./
: E
Yellow Copy: City of Eagan Pink Copy: SFH