4672 Cambridge Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
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41. Cily of f a an
Residential Sanitary Sewer Service
Compliance Inspection
Date Ti me • C. � • ; - am
a i' • . pm
Name
3
PID Number
/a
House Number Street Name
Alternative Mailing Address
A
•
No sump pump
4" to 6" Transition:
White Copy: Property Owner
•. 1 Disk #
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
LLJ
Phone f. ::,'
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
�
Record Number i J
Notes
Time
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
o am
•
• o pm
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
Yellow Copy: City of Eagan Pink Copy: SEH