1599 Lancaster Lane - Inspection FormCity of Elan
Residential Sanitary Sewer Service
Compliance Inspection
Date (_ 1 ./ / 1 ! % Time
Name . ,)
PID Number
House Number
Alternative Mailing Address
� r
A
r
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
•
White Copy: Property Owner
Street Name
Owner /Occupant Signature
am
0 pm
°k.LE -CI7
Record Number
Time
inspector Signature
o am
o pm
Phone ;',,:C/✓ " �._•
For information call 651.470.2788
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
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
I
• - 1 _ % f �^ ----) f7
Total
Sump pumps
:`
r
r',
Foundation drains
MEM
Roof drains
ME
City of Elan
Residential Sanitary Sewer Service
Compliance Inspection
Date (_ 1 ./ / 1 ! % Time
Name . ,)
PID Number
House Number
Alternative Mailing Address
� r
A
r
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
•
White Copy: Property Owner
Street Name
Owner /Occupant Signature
am
0 pm
°k.LE -CI7
Record Number
Time
inspector Signature
o am
o pm
Phone ;',,:C/✓ " �._•
For information call 651.470.2788
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
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH