2128 Carnelian Lane - Inspection FormSump pumps
�
'
Foundation drains
Roof drains
s:
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 77: / / Ll � 1
Name
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
q No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Total
Time it
Service Lateral Inspection Findings
Disk #
PID Number
r i )
House Number ,/ ! Street Name
f
Owned ®ccupant Signature
O
O
O
O
O
Correctly
am
pm
Phone ✓ � -) /T)
For information call 651.470.2788
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Surnp pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks Entered S.L.. at
Roots
Poor PipeJoints r , . /f,t- )/ f
• Mineral Deposits � . -' "?. r'
�1 _ ; 1 : ?
Sag/Pipe Deflection = " , i .. f ,
Damaged Pipe _...„L 3 .• i_ --: I .• ; .-�' , -'r , !'' ,,, N• ..-`/ F ; 7
Transition
Incorrectly
Length of Service: Lam!
Unknown
Yellow Copy: City of Fagan
Record Number
c
7 Time
•
•
r
d�1
Obstruction
Unable to push past
feet
As
Inspector Signature
a
i~-/ t am
pm
I J w �``, '
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
-
L _
t
i ' Final Cleanout: ) 2
Notes
•
Pink Copy: SEH
i 1`)
Date =° , 1 ✓ r—
Name
House Number.
Alternative Mailing Address
//I ) 4 1 i
4" to b" Transition:
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
Mineral Deposits
Sag ipe Deflection
Damaged Pipe
Transition
fOwnerlOycupant Signature
Oen
White Copy: Property Owner
Time ✓ a
Disk #
i)
41 City of F,a ate
Residential Sanitary Sewer Service
Compliance Inspection
PID Number
Street Name
Phone
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 In spection Findings ) N, umber of stacks
Roots , "' -` w ' 1
, s >
Poor Pipe Joints
i
Length of Service:
Yellow Copy: City of Eagan
Record Number
mod
Obstruction
Unable to push past
feet
r\
I
Entered S L.at, ,
Inspector Signature
4- Cleanout:
am
Pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes r
y � . °t
.�'�� ,�.�"� =" - 4:(
. -- s } .
_
�% j
I L'I ':' P
Total
Sump pumps
---�
----
Foundation drains
Roof drains
i 1`)
Date =° , 1 ✓ r—
Name
House Number.
Alternative Mailing Address
//I ) 4 1 i
4" to b" Transition:
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
Mineral Deposits
Sag ipe Deflection
Damaged Pipe
Transition
fOwnerlOycupant Signature
Oen
White Copy: Property Owner
Time ✓ a
Disk #
i)
41 City of F,a ate
Residential Sanitary Sewer Service
Compliance Inspection
PID Number
Street Name
Phone
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 In spection Findings ) N, umber of stacks
Roots , "' -` w ' 1
, s >
Poor Pipe Joints
i
Length of Service:
Yellow Copy: City of Eagan
Record Number
mod
Obstruction
Unable to push past
feet
r\
I
Entered S L.at, ,
Inspector Signature
4- Cleanout:
am
Pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH