1557 Lancaster Lane - Inspection Form4 11IPP Residential Sanitary Sewer Service
City of hapi Compliance Inspection
/2 . � C 211, .i am
Date 1 / 1 / / Time ( • pm
Name / �.s .�. ' D #
PID Number.
House Number ) _ 4 7, o'" Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S .. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
,r r°
Owner/Occupant Signature
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
ri Time
Phone 4.
inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
• Oam
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
4 11IPP Residential Sanitary Sewer Service
City of hapi Compliance Inspection
/2 . � C 211, .i am
Date 1 / 1 / / Time ( • pm
Name / �.s .�. ' D #
PID Number.
House Number ) _ 4 7, o'" Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S .. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
,r r°
Owner/Occupant Signature
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
ri Time
Phone 4.
inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
• Oam
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH