2073 Copper Lane - Inspection FormSump pumps
;j
Foundation drains
Roof drains
-r
atl of Ea PR
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name (/' ✓
PID Number
House Number ;= ! Street Name _
Alternative Mailing Address
4" to 6" Transition: /
_i )6,j Time.
White Copy: Property Owner
Disk #
Owner10k pant Signature
o pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitar y sewer
O, Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Total
Non
O
O
O
O
O
Correctly
am
pm
7
For information call 651.470.2788
- Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks i Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition G� C lw 7
Length of Service:
Incorrectly
Unknown
2 Phone!"
Number Discharged
Yellow Copy: City of Eagan
j
Record Number
Notes
Time
• - • •*V
1 � , � am
• pm
Inspector Signature
Obstruction
Unable to push past
feet
ri
Final Cleanout:
15/ a7)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
{
Pink Copy: SEH