4707 Walden Dr - Inspection Form41 !.. 1 City of Ea pa
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 f 11
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
P..]•., r am
Time f- ' • ( pm
' Ownerlcupant ignature
Name -'r`° ) 1 1 Disk#
P1D Number
House Number - - /' 4 1,Y Street Name )A/2 .2,1, - --'--
Alternative Mailing Addre i N
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
Phone ' r i
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
}
Obstruction
Unable to push past
feet
o am
•
• O pm
Inspector Signature '
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
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Notes
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Unknown
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Foundation drains
Roof drains
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41 !.. 1 City of Ea pa
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 f 11
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
P..]•., r am
Time f- ' • ( pm
' Ownerlcupant ignature
Name -'r`° ) 1 1 Disk#
P1D Number
House Number - - /' 4 1,Y Street Name )A/2 .2,1, - --'--
Alternative Mailing Addre i N
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
Phone ' r i
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
}
Obstruction
Unable to push past
feet
o am
•
• O pm
Inspector Signature '
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH