4666 Cambridge Dr - Inspection Form41*
City of hap
Residential Sanitary Sewer Service
Compliance Inspection
. ..-1 ; f26 )/1
Date )
4,C, 4 00 / /(, Time
4,,- • / pm
I
Name )A „ie !,/VZ 1 . # .,.
1 , l , 1 i
PID Number
) k2:0 Street Name
House Number
Alternative Mailing Address
Owner/Occupant Signature
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Number. of stacks
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Entered S.L. at
)
2 '
Phone '"`t ) 2-)
)
I
A//ar2h v
inspector Signature
0 am
•
• 0 pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
n
---,-, 7„--
c7) -
..._. , ,_-
ir
,-,.?) L(2-.'",...7"...,•': ‘....- , .,,,, 4. f
,-,)
"
- t.<-
Total
Sump pumps
„,....„,
, ..,._
Foundation drains
MEM
Roof drains
...----”)
-- i
',----'"
41*
City of hap
Residential Sanitary Sewer Service
Compliance Inspection
. ..-1 ; f26 )/1
Date )
4,C, 4 00 / /(, Time
4,,- • / pm
I
Name )A „ie !,/VZ 1 . # .,.
1 , l , 1 i
PID Number
) k2:0 Street Name
House Number
Alternative Mailing Address
Owner/Occupant Signature
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Number. of stacks
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Entered S.L. at
)
2 '
Phone '"`t ) 2-)
)
I
A//ar2h v
inspector Signature
0 am
•
• 0 pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH