4860 Knottingham Cir - Inspection Form
Residential Sanitary Sewer Service
City I w Compliance Inspection
• O am
Date61-7 Time d • pm Record Number-
'M
Name Disk # Time • ,6'pm
PID Number
House Numbers ff Street Name ,~~r
7
Alternative Mailing Address Phone OwnerlOccupant Signature ~r inspector Signature
For information call 651.470.2788
Campftnce Non-Compliance Obstruction No Access
No foundation drain connection O Clear water connections to Unable to push past O No one in
sanitary sewer, feet
No off drarrr Connection O Access to service
O Service lateral defects lateral needed
Sump pit not connected to 0 Defective manholes
sanitary sewer O Inspectlon
O Sump pump connected to sanitary
O Sump pump properly piped sewer, refused
No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at - 1 5" t-le .
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Len$th of Service: Final Cleanout:
4" to 6" Transition:
c
Notes /
11.✓~/c'.LP°l
Number Discharged
a r
Total Correctly Incorrectly Unknown
Sump pumps 1r`~,,~~tr~~~~,/' l~.j --~J::-,~;.~>y;;6 ~ _
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Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH