1563 Lancaster Lane - Inspection Form\\)00 ionj.
City of Eapfl
Residential Sanitary Sewer Service
Compliance Inspection
•
Date 1/
Name
PID Number
House Number
Alternative Mailing Address
4" to 6"Transition:
White Copy: Property Owner
arn
Time , pm
1 1-
j jpiSk #
Street Name
- •
OwnerlOccupant Siknature
Compliance
O No foundation drain connection
O No roof drain connection
Atb
, , , Sump pit not connected to
sanitary sewer 4,/,f"
9 Sump pump properly piped
. 0 No sump pump
Service Lateral Inspection Findings
Non-Compliance
Phone
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
inspeCtor Signature
Obstruction
Unable to push past
feet
Final Cleanout:
0 am
•
• 0 pm
I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
, -
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,),..4,-..v ' 4 • . -.:44 4 .. - Li.„L....,- -,,,-;)/ i
44
,- •--1
.
) -
_4- .4 - - 4' . ° 1 ''''' •-•jj
Total
Sump pumps
\ )
N''
Foundation drains
Roof drains
/ 1
4 i
■,,,,,
/ 4
\\)00 ionj.
City of Eapfl
Residential Sanitary Sewer Service
Compliance Inspection
•
Date 1/
Name
PID Number
House Number
Alternative Mailing Address
4" to 6"Transition:
White Copy: Property Owner
arn
Time , pm
1 1-
j jpiSk #
Street Name
- •
OwnerlOccupant Siknature
Compliance
O No foundation drain connection
O No roof drain connection
Atb
, , , Sump pit not connected to
sanitary sewer 4,/,f"
9 Sump pump properly piped
. 0 No sump pump
Service Lateral Inspection Findings
Non-Compliance
Phone
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
inspeCtor Signature
Obstruction
Unable to push past
feet
Final Cleanout:
0 am
•
• 0 pm
I
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Pink Copy: SEH