2025 Coral Lane - Inspection FormCity of Fia,an
Residential Sanitary Sewer Service
Compliance Inspection
Date 7 / I / 2
Name ft O /'Ir 1 T"f1r('4 /Disk i-r Li-[i
PID Number
House Number 025 Street Name _ ell-Z
Alternative MailingAddress
4" to 6" Transition:
White Copy: Property Owner
‘.1`
0wfrlOccu ant Signature
Compliance
O No foundation drain connection
O No roof drain connection
A O Sump pit not connected to
I A sanitary sewer
'Sump pump properly piped
O No sump pump
Time .4' op
Service Lateral Inspection Findings
Roots
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
Length of Service:
Record Number
Time
Yellow Copy: City of Eagan • H >
t j n r -
Inspector Signature
• o am
• o pm
For information call .651.470.2788 '.
Obstruction
Unable to push past
feet
Notes ' q
Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Number of stacks_ Entered S L at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1 i /1 j
,116 /1-FIET
j r
r R - Pink Copy: SFH
Total
Number
Discharged
Correctly
Incor rectly Unknown
Sump pumps
Foundation drains
Roof drains
City of Fia,an
Residential Sanitary Sewer Service
Compliance Inspection
Date 7 / I / 2
Name ft O /'Ir 1 T"f1r('4 /Disk i-r Li-[i
PID Number
House Number 025 Street Name _ ell-Z
Alternative MailingAddress
4" to 6" Transition:
White Copy: Property Owner
‘.1`
0wfrlOccu ant Signature
Compliance
O No foundation drain connection
O No roof drain connection
A O Sump pit not connected to
I A sanitary sewer
'Sump pump properly piped
O No sump pump
Time .4' op
Service Lateral Inspection Findings
Roots
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
Length of Service:
Record Number
Time
Yellow Copy: City of Eagan • H >
t j n r -
Inspector Signature
• o am
• o pm
For information call .651.470.2788 '.
Obstruction
Unable to push past
feet
Notes ' q
Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Number of stacks_ Entered S L at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1 i /1 j
,116 /1-FIET
j r
r R - Pink Copy: SFH