4684 Cambridge Dr - Inspection FormPID Number
4" to 6" Transition:
Ctly of Ea)ao
Residential Sanitary Sewer Service
Compliance Inspection
rn
Date
/e
Name /4, ''
; Disk #
Alternative Mailing Address
A
/1/
/2
/
'
House Number 2 7 - Street Name
White Copy: Proper ty Owner
• am
Time •
pm
Owner/Occupant Signature
Compliance
0 No foundation drain connection
No roof drain connection
9( Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
-LL-LL
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
7
1;7
Obstruction
Unable to push past
feet
0 am
•
Time • o prn
) („ , • -•;7›.. 5 .?
Inspe Signature A) ) 417
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes
;
K._ _....',..---- ./ fl - I —, -- - , •
'----- ,---- C 1-- • A ) 1 —
--".
'.-.--.,. ,:. 1 L--.- - - " ------ z?"_ , ./ ;, -
• ,--/,., fr j , ,,/ A-1 7 -'1)— .iti ;‹,
--- / - ---- °'
Total
Correctly
Incorrectly
Unknown
a
Sump pumps
1 )
A
I
\ i
.,/
Foundation drains
Roof drains
.7
t
,/\/
(-•_
PID Number
4" to 6" Transition:
Ctly of Ea)ao
Residential Sanitary Sewer Service
Compliance Inspection
rn
Date
/e
Name /4, ''
; Disk #
Alternative Mailing Address
A
/1/
/2
/
'
House Number 2 7 - Street Name
White Copy: Proper ty Owner
• am
Time •
pm
Owner/Occupant Signature
Compliance
0 No foundation drain connection
No roof drain connection
9( Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
-LL-LL
Non-Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
7
1;7
Obstruction
Unable to push past
feet
0 am
•
Time • o prn
) („ , • -•;7›.. 5 .?
Inspe Signature A) ) 417
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH