2091 Coral Lane - Inspection FormCity tif Id,ao
Residential Sanitary Sewer Service
Compliance Inspection
Date K Z '/
Name 4 /4- /-'41 .c - - ' Disk #
PID Number
0 /
House Number Street Name
Alternative Mailing Address
1
f
J` OwnerIQccupont 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
No sump pump
Service Inspection Findings
hoots ~' d -
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Tr ansition: {1/ t//-
White Copy: Pr opeity Owner
N -4eo
I F 0 v ; / i' "
j/ • z am
Time •-- O pm
0
O
O
O
0
Non - Compliance
LL1
1
Length of Service:
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks _
Yellow Copy: City of Eaga
Record Number
Phofi°e
,
Time ! / a ` � � r pm
t/) cdr / - , f`
rnspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
, 5 feet.
1 150 t.s �'€��e ",✓�1l.
Tc '7Ts 1
Entered S.L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
i s J . Ac4fiVii 7o / _
; '/ Pj 1) >, Die / eve:
PSG'
r/ ` L/' Final Cleanout:
Notes y/ {)/v p}
( 2/137— 7 1 , -.-' i ak 2
e6 f4 (/ /)0 717- D 1 _
/.4..
! y:.../
/
Vf v
7r
it /v, ("K
d
Gi4 77A'
Pink Copy: SEH
f , ✓ } r;� • d f x
A.- J Ii
ifa `%' ✓('i
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
°
_ --
Foundation drains
►
( s
Roof drains.r
-- ___ .
_ _
City tif Id,ao
Residential Sanitary Sewer Service
Compliance Inspection
Date K Z '/
Name 4 /4- /-'41 .c - - ' Disk #
PID Number
0 /
House Number Street Name
Alternative Mailing Address
1
f
J` OwnerIQccupont 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
No sump pump
Service Inspection Findings
hoots ~' d -
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Tr ansition: {1/ t//-
White Copy: Pr opeity Owner
N -4eo
I F 0 v ; / i' "
j/ • z am
Time •-- O pm
0
O
O
O
0
Non - Compliance
LL1
1
Length of Service:
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks _
Yellow Copy: City of Eaga
Record Number
Phofi°e
,
Time ! / a ` � � r pm
t/) cdr / - , f`
rnspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
, 5 feet.
1 150 t.s �'€��e ",✓�1l.
Tc '7Ts 1
Entered S.L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
i s J . Ac4fiVii 7o / _
; '/ Pj 1) >, Die / eve:
PSG'
r/ ` L/' Final Cleanout:
Notes y/ {)/v p}
( 2/137— 7 1 , -.-' i ak 2
e6 f4 (/ /)0 717- D 1 _
/.4..
! y:.../
/
Vf v
7r
it /v, ("K
d
Gi4 77A'
Pink Copy: SEH
f , ✓ } r;� • d f x
A.- J Ii
ifa `%' ✓('i
City of Cap
Residential Sanitary Sewer Service
Compliance Inspection
I
Date
Name
PID Number
(7; I
House Number Street Name
4
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitar y sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection F,9dings Number of stacks 1 Entered St, at
Roots f 771
• —744
Poor Pipe lolls
Mineral eposits
Sag/Pip/ eflection
Damaged Pipe
Transition
4"jo 6" Tr ansition:
White Copy: Property Owner
)1
LOwner/Occupont Signature
Time .-/".
am
Pm
Non-Compliance
O Clear water connections to
sanitary sewer Unable4t push past
,7" feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
_./".
r.
•
Yellow Copy: City of Eagan
Record Number
• 0 am
Time • 5'1
pm
Phone
Inspector Signature / 0,
Obstruction
(7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: ) 7).-11 iA Final Cleanout: "
Pink Copy: SEH
. 41
,.„
-,.
Total .'
Number
Correctly
Discharged
incorrectly Unknown
Notes
t--1 _.., 1 4 ,,,,r,
1 )fr j A
Sump pumps
11111111-9*
Foundation drains
Roof drains
MIMI
1111
City of Cap
Residential Sanitary Sewer Service
Compliance Inspection
I
Date
Name
PID Number
(7; I
House Number Street Name
4
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitar y sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection F,9dings Number of stacks 1 Entered St, at
Roots f 771
• —744
Poor Pipe lolls
Mineral eposits
Sag/Pip/ eflection
Damaged Pipe
Transition
4"jo 6" Tr ansition:
White Copy: Property Owner
)1
LOwner/Occupont Signature
Time .-/".
am
Pm
Non-Compliance
O Clear water connections to
sanitary sewer Unable4t push past
,7" feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
_./".
r.
•
Yellow Copy: City of Eagan
Record Number
• 0 am
Time • 5'1
pm
Phone
Inspector Signature / 0,
Obstruction
(7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service: ) 7).-11 iA Final Cleanout: "
Pink Copy: SEH
. 41