4699 Walden Dr - Inspection Form4411- City of I a afl
Residential Sanitary Sewer Service
Compliance Inspection
Date L 1 x 3 1 1 , f Time •
Name
PID Number
House Number ' - Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
• C '° am
• f Q pm
-C�
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 of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
•
Phone .
.—
Obstruction
Unable to push past
feet.
0 am
• O pm
Final Cleanout:
inspector Signature ;
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Notes
1up
I
, -..,,- --,
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
,
)
I r
_ 3 !!�
Foundation drains
Roof drains
_. . .
/ x
4411- City of I a afl
Residential Sanitary Sewer Service
Compliance Inspection
Date L 1 x 3 1 1 , f Time •
Name
PID Number
House Number ' - Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
• C '° am
• f Q pm
-C�
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 of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
•
Phone .
.—
Obstruction
Unable to push past
feet.
0 am
• O pm
Final Cleanout:
inspector Signature ;
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH