4608 Cambridge Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date Ir /1
Name
PID Number
House Number 1,' Street Name
Alternative Mailing Address
Disk #
Owner /Occupant Signature
7 ) am
Time 1 1 �� / pm
For information call 651.470.2788
Compliance
O No foundation drain connection
//
O Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
No sump pump
No roof drain connection
4" to 6 "Transition:
Service Lateral Inspection Findings Number of stacks Entered S L,at
Roots
Poor. Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
Total
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
Number Discharged
Correctly
Record Number
Time
Phone / �� ".> I : ' _ J
Inspector Signature
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
Incorrectly Unknown
Notes
f '
-
Oam
•
• _O pm
)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH