4241 Amber Dr - Inspection FormCompliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
For information call 651 0,2788
No Access
0 No one in
Access to service
lateane�gd�
0 Inspe �� ft
refused
Non - Compliance
0 Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks _ Entered S.L.at
Roots
Poo \Pipe f its (
, �..-' --- :._. 3 -r, ) 1 7) ,. ' -- - - %' r !' . -- �` /�' ,' /
�°
Mine I posits �' r r�/ K " ? -f.' , a I' , - i/ / ' ` - 'r?t
J / 1 . 1
1 � � r „ i ^^ 1 {, „d, Sag /Pii Deflection " t , , �i — l -- �
I' ° r :�
DarrtragedPipe j %' t /..){ ""-_ /4-- ` is P - 7 [ Y"2,4 ( � . . eF-
t
Transition � j r" _ __ -. ( r )c a .`—-,
4" to 6" Transition: Length of Service: Final Cleanout:(`_.4 )/ Or—
Number
Correctly
Discharged
Incorrectly
-
Unknown
N otes
Total
Sump pumps
Foundation drains
Roof drains
City of Ea ail
Residential Sanitary Sewer Service
Compliance Inspection
Date- /
Name
f
c f
l
White Copy: Pzoperty Owner
Time
Disk #
PID Number
House Number - I Street Name
Alter native Mailing Address
?wnerlOccupant Signature
• (.._/ am
• , o pm
Time
Yellow Copy: City of Eagan
Record Number
f
inspector Signature
• O am
• Opm
Phone t`^ ) _ L43 4 i
Pink Copy: SEH
i 63/1