2025 Carnelian Lane - Inspection Form41111
Eil.y of ha ap
Residential Sanitary Sewer Service
Compliance Inspection
gg l
Date ) l / 1
Name z 1/ ;
Owner /Occupant Signature
Compliance
O No foundation drain connection
0 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
V No sump pump
Service Lateral Insption Findings
Roots ,
Transition
.2-i-
4" to 6 "Transition:
White Copy: Property Owner
[ �1
�O am
Time ./1 le fp pm
Disk #
._ 1
PID Number.
) House Number ate Street Name
Alternative Mailing f(- % �l l,; Phone 72-
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
Record Number
� • ,mow i am
Time , %. • : O pm
- Inspector Signature i r }
cy,/
Obstruction
Unable to push past
feet
Entered S.L.at '?
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I
/7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
, ijFinal C €eanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
Foundation drains
{d �
f'
Roof drains
41111
Eil.y of ha ap
Residential Sanitary Sewer Service
Compliance Inspection
gg l
Date ) l / 1
Name z 1/ ;
Owner /Occupant Signature
Compliance
O No foundation drain connection
0 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
V No sump pump
Service Lateral Insption Findings
Roots ,
Transition
.2-i-
4" to 6 "Transition:
White Copy: Property Owner
[ �1
�O am
Time ./1 le fp pm
Disk #
._ 1
PID Number.
) House Number ate Street Name
Alternative Mailing f(- % �l l,; Phone 72-
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
Record Number
� • ,mow i am
Time , %. • : O pm
- Inspector Signature i r }
cy,/
Obstruction
Unable to push past
feet
Entered S.L.at '?
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I
/7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
, ijFinal C €eanout:
Pink Copy: SEH