4731 Walden Dr - Inspection FormCity of d ap
Y i�
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
4" to 6" Transition:
Altern9tivc/ Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
• Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time -,• • f pm
Street Name
I Owner /Occupant Signature
For information call 651.470.2788
Service Lateral Inspection Findings
4
am
Phone
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
-ED LE
Record Number
Time
Obstruction
Unable to push past
feet
Entered S L at
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
•
�— ° "`
Length of Service: Final Cleanout:
0 am
• Opm
7 '.
inspector Signature
JN ,a'
t �/ 4
�O ?"
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
1
•
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Total
Sump pumps
pp�
f yt
J ,
Foundation drains
MI
..- ,
Ill
Roof drains
, f._. )
MIN
City of d ap
Y i�
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
4" to 6" Transition:
Altern9tivc/ Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
• Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time -,• • f pm
Street Name
I Owner /Occupant Signature
For information call 651.470.2788
Service Lateral Inspection Findings
4
am
Phone
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
-ED LE
Record Number
Time
Obstruction
Unable to push past
feet
Entered S L at
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
•
�— ° "`
Length of Service: Final Cleanout:
0 am
• Opm
7 '.
inspector Signature
JN ,a'
t �/ 4
�O ?"
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH