1593 Lancaster Lane - Inspection FormY of Eqpt
Residential Sanitary Sewer Service
Compliance Inspection
f� �}'
Date_/ 'f . ) I ! i - -
fame �� =7 J✓ Disk #
PID Number
House Number / �' ��/ Street Name
Alternative Mailing Address —
Compliance
O No foundation drain connection
No roof drain connection
1..
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,No sump pump
4" to 6 "Transition:
White Copy: Property Owner
• ' 01am
Time y e pm
OtvnerlOccupont Signature)/
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Phone C f
Number of stacks Entered S L,at
()
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
. Incorr,ectly Unknown
Notes
Total
Sump pumps
t?
7
/
Foundation drains
Roof drains
Y of Eqpt
Residential Sanitary Sewer Service
Compliance Inspection
f� �}'
Date_/ 'f . ) I ! i - -
fame �� =7 J✓ Disk #
PID Number
House Number / �' ��/ Street Name
Alternative Mailing Address —
Compliance
O No foundation drain connection
No roof drain connection
1..
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
,No sump pump
4" to 6 "Transition:
White Copy: Property Owner
• ' 01am
Time y e pm
OtvnerlOccupont Signature)/
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Phone C f
Number of stacks Entered S L,at
()
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH