4649 Cambridge Dr - Inspection FormCity ofFaao
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
Alternative
3
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
r'J
• a am
T)1 1 / 2 Time • 4 p
N /) r
- r JA Disk #
4 ner /Cccupt Signature
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
Total
Correctly
L
Non- Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O ;Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Incorrectly
Unknown
Number Discharged
Yellow Copy: City of Eagan
Record Number
Time
HD Number
House Number ) "1 �'
Street Name ..r"' M j? /1 ;1
iling Address f Phone 9
Obstruction
Unable to push past
feet
Notes
• O am
• O pm
t >'
Inspector / Signature )\ . ) ,...7.43 . 2. 7 A '/} f
.'
Final Cleanout:
For information tali 651.470.2788
No Access
O No one in
O Inspection
refused
Entered S . at
O Access to service
lateral needed
Pink Copy: SEH
4
Sump pumps
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Foundation drains
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y
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P
Roof drains
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City ofFaao
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
Alternative
3
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
r'J
• a am
T)1 1 / 2 Time • 4 p
N /) r
- r JA Disk #
4 ner /Cccupt Signature
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
Total
Correctly
L
Non- Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O ;Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Incorrectly
Unknown
Number Discharged
Yellow Copy: City of Eagan
Record Number
Time
HD Number
House Number ) "1 �'
Street Name ..r"' M j? /1 ;1
iling Address f Phone 9
Obstruction
Unable to push past
feet
Notes
• O am
• O pm
t >'
Inspector / Signature )\ . ) ,...7.43 . 2. 7 A '/} f
.'
Final Cleanout:
For information tali 651.470.2788
No Access
O No one in
O Inspection
refused
Entered S . at
O Access to service
lateral needed
Pink Copy: SEH