949 Chloe Lane - Inspection FormS
City o1' lia aE
Residential Sanitary Sewer Service
Compliance Inspection
f
Date I / I 1 .' Time ) •
-�• — s 1 0.1 �.
Name CI / f E / ] Disk #
PID Number
House Number
Alternative Mailing Address
r- 1i "j
For. nformation:call 651 470.2788
Compliance
,,0 No foundation drain connection
0 No roof drain connection
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
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
f 1
White Copy: Property Owner
Owner /Occupant Signature
Street Name
am
Pm
1
,3
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
1
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
war r
• 41 am
Time °- •
Phone
Obstruction
Unable to push past
feet
Entered S.L.at
otes
Inspector Signature
)
} Final Oeanout:
ap /1o'- (ad b
(No (3.0-1
l0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
f
Pink Copy: SEH
Total
Number Discharged
.
Correctly
Incorrectly
Unknoxr -,
Sump pumps
aj
ti ' 1
C
�s
/
/ '
t , ;
� .
1``�
.)
1.
Foundation drains
1i
,..
Roof drains
'
S
City o1' lia aE
Residential Sanitary Sewer Service
Compliance Inspection
f
Date I / I 1 .' Time ) •
-�• — s 1 0.1 �.
Name CI / f E / ] Disk #
PID Number
House Number
Alternative Mailing Address
r- 1i "j
For. nformation:call 651 470.2788
Compliance
,,0 No foundation drain connection
0 No roof drain connection
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
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
f 1
White Copy: Property Owner
Owner /Occupant Signature
Street Name
am
Pm
1
,3
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
1
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
war r
• 41 am
Time °- •
Phone
Obstruction
Unable to push past
feet
Entered S.L.at
otes
Inspector Signature
)
} Final Oeanout:
ap /1o'- (ad b
(No (3.0-1
l0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
f
Pink Copy: SEH