1378 Camelback Dr - Inspection Form
Residential Sanitary Sewer Service
41
4 City I IF Compliance Inspection
Date `1 ! Z/ P Time d pm Record Number... Name )V! ' ~r r ]•I~-~islc # : ® Time pm
PID Number 1
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House Number Street Name
Alternative Mailing Address Phone
Ownerl0ccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear water- connections to Unable to push past O No one in
s No roof drain connection sanitary sewer feet O Access to service
O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes _
sanitary sewer O Inspection
O Sump pump connected to sanitary O Sump pump properly piped sewer, refused
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stack Entered S.L. at
Roots -
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition 4--
_ .
f
4" to 6"Transition: Length of Service: J Final Cleanout: 1
Notes.
Number Discharged
Total Correctly Incorrectly Unknown
714- {
Sump pumps L'' ;,L n !
Foundation drainsf
%l
Roof drains
~J
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy SEH