2060 Coral Lane - Inspection FormResidential Sanitary Sewer Service
City of tipo Compliance Inspection
�
Date !/ 1 r� Time e(P o `✓
Name g/(//// /1/4/1rY
PID Number
House Number Street Name
Alternative Mailing Address
/
/r 1l °'
t
dwnerio'ccupantSlgnature
For information call 651.470.2788
Compliance
it No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition: 4
White Copy: Property Owner
Disk #
Service Lateral Inspection Findings
Roots
o pm
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
7 f
-ri
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
- Length of Service:
Yellow Copy: City of Eagan
Record Number
Pho
inspector Signature
Obstruction
Unable to push past
feet
4 ,
• earn
• (_ o Pm
No Access
O No one in
O Inspection
refused
Entered S.h at y O C
otes CO . 6,,, /a
Final Cleanout:
O Access to service
lateral needed
Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
Foundation drains
f°°"
I
Roof drains
-- --
--°•
Residential Sanitary Sewer Service
City of tipo Compliance Inspection
�
Date !/ 1 r� Time e(P o `✓
Name g/(//// /1/4/1rY
PID Number
House Number Street Name
Alternative Mailing Address
/
/r 1l °'
t
dwnerio'ccupantSlgnature
For information call 651.470.2788
Compliance
it No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition: 4
White Copy: Property Owner
Disk #
Service Lateral Inspection Findings
Roots
o pm
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
7 f
-ri
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
- Length of Service:
Yellow Copy: City of Eagan
Record Number
Pho
inspector Signature
Obstruction
Unable to push past
feet
4 ,
• earn
• (_ o Pm
No Access
O No one in
O Inspection
refused
Entered S.h at y O C
otes CO . 6,,, /a
Final Cleanout:
O Access to service
lateral needed
Pink Copy: SEH