4642 Cambridge Dr - Inspection Form
Residential Sanitary Sewer Service
City of I~f Compliance Inspection
- am ji
DateI 1 (l Time pm Record Number '
Name Disk # t• " ? C 7 Time • ~O PM
r 1 i •
PID Number
House Number, Street dame
Phone °
Alternative MailingAddress l
Ownerlocc4ant Signature Inspector Signature
For information call 6S 1.470.2788
MON
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water connections to Unable to push past O No one in
l No roof drain connection sanitary sewer- feet. O Access to service
6 O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S.L at`' ='..A w
Roots
Poor Pipejoints
Mineral Deposits
Sag Pipe Deflection ? ~ 1 -F E ( it 7"'~~•
f
Damaged Pipe / !
T r~ f fi 9l / 7
Transition 14-
}1~ f Tr f
i~ 1-
V
4" to b"Transition: Length of Service: Final Cleanout: ;.,<:651; -
Notes
Number Discharged
Total Correct) Incorrect[ Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH