4634 Cambridge Dr - Inspection FormCompliance
{ No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
3I
; ,ci Sump pump properly piped
0 No sump pump
For information call 651.470.2788
Non - Compliance
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at -' - ' ''s
Roots
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Tr ansition: Length of Service: . -' i Final Cleanout: ' = ' !1 �
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
II II
Foundation drains
r !
Roof drains
,,,-,
i
'� �' 1
== _ j ) - t f - ) f
4- 1 / .1'i L..i I 1.� y L
City oI' pn
Residential Sanitary Sewer Service
Compliance Inspection
_ 1
Date , a 1 j r " "� t .•�,:
:
Alternative Mailing Address
White Copy: Property Owner
/
0 a
Time ;50 •pm
- Disk #
PID Number.
House Number Street Name '7/i
Owner /Occupant Signature
Yellow Copy: City of Eagan
Record Number
F1112 Time
-7
Inspector Signature
�. 0, am
y`
Phone
Pink Copy: SEH