4655 Cambridge Dr - Inspection FormCit of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date' 11 ..
Time i
Name __.. :: - N i ' . Disk #
PID Number
House Number
Alternative Mailing Address_
y r�✓
Compliance
O No foundation drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
No roof drain connection
4" to 6 "Transition:
White Copy: Proper Owner
}
• • G? am
is
!.
)w._:,.DStreet Name
Owner /Occupant Signature
Service Lateral Inspection Findings Number of stacks
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Q r Sump pump connected to sanitary
. sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone %-
Entered S.L at
Obstruction
Unable to push past
feet
Cleanout:
Inspector Signature
0 am
•
• Opm
J im, ;; , J
For information call 651.470.2788
N o Access
O No one in
O Access to service
later needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
N otes
a ?
, � f`
J ... i
f
" ` � f.'
Total
Sump pumps
�
Foundation drains
r
_ ? f , p , !
Roof drains
..-
i -
Pin
...--
44,004 �/ - _i /J_ / .4, % 1 —�rf
Cit of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date' 11 ..
Time i
Name __.. :: - N i ' . Disk #
PID Number
House Number
Alternative Mailing Address_
y r�✓
Compliance
O No foundation drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
No roof drain connection
4" to 6 "Transition:
White Copy: Proper Owner
}
• • G? am
is
!.
)w._:,.DStreet Name
Owner /Occupant Signature
Service Lateral Inspection Findings Number of stacks
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Q r Sump pump connected to sanitary
. sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone %-
Entered S.L at
Obstruction
Unable to push past
feet
Cleanout:
Inspector Signature
0 am
•
• Opm
J im, ;; , J
For information call 651.470.2788
N o Access
O No one in
O Access to service
later needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH