1592 Lancaster Lane - Inspection FormCif of Ea pal
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date :� %1
Name
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
am
Time -' i. 'a pm
Disk #
PID Number
House Number ) ..,. Street Name
Alternative Mailing Address Phone ,
Owner /Occupant Signature
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
a
Record Number
[1 Time
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
•
i s t
Final Cleanout:
o am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered St at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
.
(,.' - ?� ,
l , • I
/` f ....,. 'fi ; a✓ i - r
Total
Sump pumps
° 1 - ��., rte ,,:= Frl r , I
_ ,.2 e )
-• 1 4'
.� r
Foundation drains
E .. �� i )
L .' r4
/'` 1 11.=
r
Roof drains
Cif of Ea pal
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date :� %1
Name
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
am
Time -' i. 'a pm
Disk #
PID Number
House Number ) ..,. Street Name
Alternative Mailing Address Phone ,
Owner /Occupant Signature
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
a
Record Number
[1 Time
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
•
i s t
Final Cleanout:
o am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered St at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH