4688 Cambridge Dr - Inspection Form441111
City (11 Eapi
Residential Sanitary Sewer Service
Compliance Inspection
Date 'S I I
Name ,' ?
PID Number
House Number
Alternative Mailing Address
I Owner /Occupant S gnoture
For information call 651.470.2788
Compliance
O No foundation drain connection
fJ No roof drain connection
R,,
,Ed Sump pit not connected to
sanitary sewer
O Sump pump properly piped
CO No sump pump
Service Lateral Inspection Findings
Roots
Poor' Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ` 3{ � / � J ;) , °' - , � ' te )-..--
4" to 6" Transition:
Sump pumps
Foundation drains
Roof drains
Total
Correctly
incorrectly Unknown
White Copy: Property Owner
Time
Disk #
Street Name
am
0 pm
/"f,
Non - Compliance
Number of stacks Entered S L.at
Length of Service:
Number Discharged
Record Number
Obstruction
Notes
• -, am
Time ' i • O pm
f
Phone 7—
Inspector Signature
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
7 •
Yellow Copy: City of Eagan Pink Copy: SEH
f