948 Chloe Lane - Inspection FormCity of Ea ap
Residential Sanitary Sewer Service
Compliance Inspection
Date U i 1 9 ' / 1/ '
Name ,J . A '. 7 71
PID Number
House Number
4" to 6" Transition:
Alternative Mailing Address
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
White Copy: Property Owner
Owner /Occupant Signature
Time
Disk #
t2Z-J 9 am
- -A, pm
Street Name
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 I
Yellow Copy: City of Eagan
/
Record Number
- • J O,am
Time N. •
Phone 2
inspector S
Entered S L at
f pm
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
) /2 c
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition .�
)4 77 i ...
..:.✓ -- ,--- 1 --- \:-3 X 1 1
/T l ll%� r� G d,C%/
Length Service: D 1 L - - F Cleanout: j
Pink Copy: SEH
Number
Correctly
j I a
Discharged
Notes
// y
�` '+
- - -- _ � s Fey ? i_
r t �� f
! �� , / g l
Total
Incorrectly
7,C_r c'
- !
iI i
Unknown
1
n !. ���
Sump pumps
-
, -�
Foundation drains
` J •
Roof drains
%
City of Ea ap
Residential Sanitary Sewer Service
Compliance Inspection
Date U i 1 9 ' / 1/ '
Name ,J . A '. 7 71
PID Number
House Number
4" to 6" Transition:
Alternative Mailing Address
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
White Copy: Property Owner
Owner /Occupant Signature
Time
Disk #
t2Z-J 9 am
- -A, pm
Street Name
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 I
Yellow Copy: City of Eagan
/
Record Number
- • J O,am
Time N. •
Phone 2
inspector S
Entered S L at
f pm
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
) /2 c
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition .�
)4 77 i ...
..:.✓ -- ,--- 1 --- \:-3 X 1 1
/T l ll%� r� G d,C%/
Length Service: D 1 L - - F Cleanout: j
Pink Copy: SEH