4730 Walden Dr - Inspection Form41*
Ejty likaa
Residential Sanitary Sewer Service
Compliance Inspection
"7, r'J
Date r _ r
Name
>
House Number
';/f
re'^
d 4- -c-- 7 /1 --'" Disk #
Time pm
PID Number
�C ./r Street Name
Alternative Mailing Address n
OwnerlOccupant Signature
CM- -f T_7
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer 4,, �v7) , ) ; 4
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
0 Defective manholes
•/ 0 Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
^ �1
•
Time •
Phone
Obstruction
Unable to push past
feet.
inspector Signature
Final Cleanout:
Dam
0 pm
'gi
G :J f ,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pick Copy: SEH
/6/f 'r.
f
Total
Notes
1
s /rte , / ' { ,
v a . C ° 7 c ,
, 7 1"- i '' : : �.- . ,
1 1 " " y7
�`
, . L!) {' �,�, ,;er
I
,_
w
) ,y f .
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
,I -
- t 'I
/
( 1�
(i.,..-7.-.
t
' -''ryj
r1
, ) •— —
f.�— ,— /i
Foundation drains
1
'
-) . 1"i
�===,
y 2.- ' ..,.,.�.
,:2 , . r-.
Roof drains
41*
Ejty likaa
Residential Sanitary Sewer Service
Compliance Inspection
"7, r'J
Date r _ r
Name
>
House Number
';/f
re'^
d 4- -c-- 7 /1 --'" Disk #
Time pm
PID Number
�C ./r Street Name
Alternative Mailing Address n
OwnerlOccupant Signature
CM- -f T_7
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer 4,, �v7) , ) ; 4
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
0 Defective manholes
•/ 0 Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
^ �1
•
Time •
Phone
Obstruction
Unable to push past
feet.
inspector Signature
Final Cleanout:
Dam
0 pm
'gi
G :J f ,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pick Copy: SEH
/6/f 'r.
f