4714 Walden Dr - Inspection Form
Residential Sanitary Sewer Service
City I E3@0 Compliance Inspection
am
Date Time 0 p Pm Record Number
_ ; ` am
Name J h Disk # 4 ? ' ! Time o P.
PID Number'
House Number Street Name
Alternative Mailing Address Phone 7 ' °I r
Ownerl0ccupaRt Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water, connections to Unable to push past O No one in
sanitary sewer feet
b No roof drain connection O Access to service
O Service lateral defects
lateral needed
Sump pit not connected to
l O Defective manholes
sanitary sewer O Sump pump connected to sanitary O Inspection
O Sump pump properly piped sewer, refused
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks !r Entered S. L. at 1 f
Roots
PoorPipejoints -
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
i:
Transition 1 w
4" to 6"Tr'ansition: Length of Service: 1 7- Final Cfeanout i
Notes
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps f
1
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH