4698 Walden Dr - Inspection Form40'
Residential Sanitary Sewer Service
Compliance Inspection
Date / 2 / )7;
1
. Disk #
PID Number
House Number
Alternative Mailing Address
!i
/ % /7
( Ovine • 5cupant Signature
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
71 i
Transition
i.t
4" to 6" Transition:
wq Street Name
White Copy: Proper ty Owner
Time
X `Y am
r pm
Phone "` — 14-4/7
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 / Entered 5 L. at
Length of Service:
Yellow Copy: City of Eagan
r
Record Number
Obstruction
Unable to push past
feet
fJ}
-7-- --
Time
i
•
am
pm
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
1
O Inspection
refused
Final Cleanout: �# �9-`: �h) ' .-
Pink Copy: SEH
Number
Correctly
Di
Incorrectly Unknown
Notes
/1„1--" j -`� 3 , �° ) F`1,= : = -; /l .� 1
.. 1 ',, "/ 7,./ ,,, r
E
Total
Sump pumps
!
J
r :
- ''
Foundation drains
(,--177k71.:?/,//:
i
,
iL f
„ t'�
Roof drains
'
40'
Residential Sanitary Sewer Service
Compliance Inspection
Date / 2 / )7;
1
. Disk #
PID Number
House Number
Alternative Mailing Address
!i
/ % /7
( Ovine • 5cupant Signature
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
71 i
Transition
i.t
4" to 6" Transition:
wq Street Name
White Copy: Proper ty Owner
Time
X `Y am
r pm
Phone "` — 14-4/7
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 / Entered 5 L. at
Length of Service:
Yellow Copy: City of Eagan
r
Record Number
Obstruction
Unable to push past
feet
fJ}
-7-- --
Time
i
•
am
pm
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
1
O Inspection
refused
Final Cleanout: �# �9-`: �h) ' .-
Pink Copy: SEH