2125 Copper Lane - Inspection FormSump pumps
Foundation drains
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Roof drains
tit,y of l,'aRA.l
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
/ f(/
Disk #
House Number ` Street Name
Aite native j MailingAddress
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Owner/059- ant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Number of stacks _ Entered SL at D
Service Lateral Inspect n Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time. c o
am
pm
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet.
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
- Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
rime ,
Obstruction
inspector Signature
am
pm
Phone
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanou } 7
Notes
e>' ) , i 7 1A
Pink Copy: SEH