2084 Coral Lane - Inspection FormCAI( 01 CtaR ,an
Residential Sanitary Sewer Service
Connpliance Inspection
Date
Name f ?/t' '
Alternative Mailing Address
PID Number
House Number Street Name
4
f1 L
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
y No sump pump
1 s
Time t •
Disk #
OwnerTOccupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe joints
4" to 6 "Transition:
White Copy: Property Owner
am
pm
Yellow Copy: City of Eagan
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
m
am
•
- 7 ,
Phone ✓ _ 57
Inspector Signature
Obstruction
Unable to push past
feet
Notes
For information call 65
No Access
O No one in
O Inspection
refused
Entered S.L.at '/ r
Number of stacks
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition --f s " ` t
Final Ceanout: l )
O Access to service
lateral needed
Pink Copy: SPIT
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
/ i
Foundation drains
C
Roof drains
0
CAI( 01 CtaR ,an
Residential Sanitary Sewer Service
Connpliance Inspection
Date
Name f ?/t' '
Alternative Mailing Address
PID Number
House Number Street Name
4
f1 L
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
y No sump pump
1 s
Time t •
Disk #
OwnerTOccupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe joints
4" to 6 "Transition:
White Copy: Property Owner
am
pm
Yellow Copy: City of Eagan
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
m
am
•
- 7 ,
Phone ✓ _ 57
Inspector Signature
Obstruction
Unable to push past
feet
Notes
For information call 65
No Access
O No one in
O Inspection
refused
Entered S.L.at '/ r
Number of stacks
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition --f s " ` t
Final Ceanout: l )
O Access to service
lateral needed
Pink Copy: SPIT