4661 Cambridge Dr - Inspection Form411 City of l'a i
Residential Sanitary Sewer Service
Compliance Inspection
Date t /i l I f Time, - 'i • IN am
O p
Name
PID Number
House Number a� -> r Street Name „-"2/46/' ' 7 f °.. .j) . _ . f
Alternative Mailing Address Phone ,} -, � -.._� / '- "!, %
For information call 651.470.2788
Compliance
0. No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Owner /Occupant Signature!
Service Lateral Inspection Findings
4” to b" Transition:
White Copy: Property Owner
Disk # W — 1 J,.
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
.-
Record Number
Time
Obstruction
Unable to push past
feet
Entered 5 L at
inspector Signature
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
O am
• O pm
Notes
i
•
'
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
®
II
Number Discharged
Correctly Incorrectly
®-®
Unknown
Sump pumps
Foundation drains
MI
Roof drains
411 City of l'a i
Residential Sanitary Sewer Service
Compliance Inspection
Date t /i l I f Time, - 'i • IN am
O p
Name
PID Number
House Number a� -> r Street Name „-"2/46/' ' 7 f °.. .j) . _ . f
Alternative Mailing Address Phone ,} -, � -.._� / '- "!, %
For information call 651.470.2788
Compliance
0. No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Owner /Occupant Signature!
Service Lateral Inspection Findings
4” to b" Transition:
White Copy: Property Owner
Disk # W — 1 J,.
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
.-
Record Number
Time
Obstruction
Unable to push past
feet
Entered 5 L at
inspector Signature
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
O am
• O pm
Notes
i
•
'
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH