2078 Copper Lane - Inspection Form,
City taRait
Residential Sanitary Sewer Service
Compliance Inspection
Date O I /0
Name 7 7 Disk#
PID Number
House Number. 7/ Street Name
Alternative Mailing Address
O wnerlOccupant Signature
For information call 651A70.2788
Compliance
QA(i foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
I I/No sump pump
4" to 6" Transition:
White Copy: Property Owner
ti/v9/77„2-1 /
Time
Non-Compliance
0
0
0
0
0
.darn
O pm
-[-TE-VE
(:
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
'Transition
Number of stacks Entered S L at
Length of Service:/
Yellow Copy: City of Eagan
Nov, 5
L/A s
Record Number j
Time 0 ? 0
o pm
Phone' 1<i-05 Z71-
/
Obstruction
Unable to push past
feet
Notes
ri4/0
Inspector Signature
/./
c/4-4
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
- Final Cleanout: A
Pink Copy: SEH
7
Number
Correctly
Discharged
incorrectly
=
•
Unknown
Total
Sump pumps
Foundation drains
___-_--
Roof drains
—
,
City taRait
Residential Sanitary Sewer Service
Compliance Inspection
Date O I /0
Name 7 7 Disk#
PID Number
House Number. 7/ Street Name
Alternative Mailing Address
O wnerlOccupant Signature
For information call 651A70.2788
Compliance
QA(i foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
I I/No sump pump
4" to 6" Transition:
White Copy: Property Owner
ti/v9/77„2-1 /
Time
Non-Compliance
0
0
0
0
0
.darn
O pm
-[-TE-VE
(:
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
'Transition
Number of stacks Entered S L at
Length of Service:/
Yellow Copy: City of Eagan
Nov, 5
L/A s
Record Number j
Time 0 ? 0
o pm
Phone' 1<i-05 Z71-
/
Obstruction
Unable to push past
feet
Notes
ri4/0
Inspector Signature
/./
c/4-4
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
- Final Cleanout: A
Pink Copy: SEH
7