4864 Knottingham Cir - Inspection FormCity of _Ca
Residential Sanitary Serer Serves
Compliance _nsecho
Date - I J / / i7
Name
PID Number
House Number S C.
Compliance
9 foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Owner /Occupant Signature
White Copy: Property Owner
Time l 7
e, Disk ##
4" to 6" Transition: l_I 1( 1 .
0 am
J U K pm
Non - Compliance
o Clear water connections to
sanitary sewer
o Service lateral defects
O Defective manholes
o Sump pump connected to
sanitary sewer
Flexible sump pump piping
Street Name
Yellow Copy: City of Eagan
Record Number
Obstruction
Alternate Mailing Address
Time
O am
O pm
Phone (I - I - 9 ,rte(
Inspector Signature
For Information call 651.470.2788
Unable to push past
feet
Number of stacks 1 Entered S.L. at
Length of Service: X5 -
No Access
O No one in
O Access to service lateral
needed
o Inspection refused
Final Clear
C. I
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
Roof Drains
�r
City of _Ca
Residential Sanitary Serer Serves
Compliance _nsecho
Date - I J / / i7
Name
PID Number
House Number S C.
Compliance
9 foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Owner /Occupant Signature
White Copy: Property Owner
Time l 7
e, Disk ##
4" to 6" Transition: l_I 1( 1 .
0 am
J U K pm
Non - Compliance
o Clear water connections to
sanitary sewer
o Service lateral defects
O Defective manholes
o Sump pump connected to
sanitary sewer
Flexible sump pump piping
Street Name
Yellow Copy: City of Eagan
Record Number
Obstruction
Alternate Mailing Address
Time
O am
O pm
Phone (I - I - 9 ,rte(
Inspector Signature
For Information call 651.470.2788
Unable to push past
feet
Number of stacks 1 Entered S.L. at
Length of Service: X5 -
No Access
O No one in
O Access to service lateral
needed
o Inspection refused
Final Clear
C. I
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551