2071 Coral Lane - Inspection Formr
Number Discharged
Notes
; s
/ ( 1 15719 /✓/
' �� ...
i
/f' ! / r 4,7 1 jjJ
i l /!
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Time / -- r pm
Name Disk # TT1
PID Number
House Number' 07/ Street Name we... 4 _Z, ,/
Date / 417 r9
Alternative Mailing Address
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
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
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:
Yellow Copy: City of Eagan
Record Number
Time
Phone k rT
f / 77
( ,
` Inspector Signature
For information call 651.4
Obstruction
Unable to push past
feet
Number of stacks Entered S L at
AAELa
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
p am
•
• opm
No Access
it No one in
Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
2 7?' am
O
Date! 1 I ! //•
Time , / •
Name
PID Number
r
House Number P 7/ Street Name �_
Alternative Mailing Address
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: Pr operty Owner
Owner /Occupant Signature
Disk # -L
Record Number
Time
X5
• Q am
• Q pm
Phone �? "`277..f(fi
j i l
inspector Signature
For information call 65.1.470.2788
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
Obstruction
Unable to push past
feet.
Length of Service: Final Cleanout:
Notes
/i -, 0 j
r 41 o - 1
Yellow Copy: City of Eagan
j \J
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
opy: SEH
t
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
2 7?' am
O
Date! 1 I ! //•
Time , / •
Name
PID Number
r
House Number P 7/ Street Name �_
Alternative Mailing Address
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: Pr operty Owner
Owner /Occupant Signature
Disk # -L
Record Number
Time
X5
• Q am
• Q pm
Phone �? "`277..f(fi
j i l
inspector Signature
For information call 65.1.470.2788
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
Obstruction
Unable to push past
feet.
Length of Service: Final Cleanout:
Notes
/i -, 0 j
r 41 o - 1
Yellow Copy: City of Eagan
j \J
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
opy: SEH
t
City of Ca ap
Residential Sanitary Sewer Service
Compliance Inspection
Date.. 1
Name 4
PID Number
r7/9
House Number l Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
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
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
� - �
Mineral Deposits
Deflection - 1
Damaged Pipe
4" to 6" Transition:
White Copy: Property Owner
90
am
Time p
Disk #
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
Number of stacks
r/' !; 1
Record Number
L _L
f 1 Time
Length of Service:
Yellow Copy: City of Eagan
1
inspector Signature
Obstruction
Unable to push past
feet
n
Final Cleanout:
0 a
•
• Opm
. '?i
Phone `^` g `? t✓
No Access
O No one in
Access to service
later l needed
O In2ptt
refused
Entered S L, at
=' A 1/1
Transition
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
City of Ca ap
Residential Sanitary Sewer Service
Compliance Inspection
Date.. 1
Name 4
PID Number
r7/9
House Number l Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
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
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
� - �
Mineral Deposits
Deflection - 1
Damaged Pipe
4" to 6" Transition:
White Copy: Property Owner
90
am
Time p
Disk #
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
Number of stacks
r/' !; 1
Record Number
L _L
f 1 Time
Length of Service:
Yellow Copy: City of Eagan
1
inspector Signature
Obstruction
Unable to push past
feet
n
Final Cleanout:
0 a
•
• Opm
. '?i
Phone `^` g `? t✓
No Access
O No one in
Access to service
later l needed
O In2ptt
refused
Entered S L, at
=' A 1/1
Transition
Pink Copy: SEH