4739 Walden Dr - Inspection Form411
City of liapo
Residential Sanitary Sewer Service
Compliance Inspection
DateL /21
Name c , ,
1
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
4" to 6" Transition:
White Copy: Property Owner
() (1
•— am
; pm
Disk #
PID Number
House Number Street Name
Alternative Mailing Address
.
! Own diYbccupani
LEM
2i 2
For information call 651.470.2788
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 Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
4 .
7
0 am
•
Time • 0 pm
Phone / 1 2- )
n sp ecto r Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O inspection
refused
-
(
% ) .
L ; -
Pink Copy: SEH
Total
Notes
..---i-- ..---- .
, , -_-_--
.'
..--,
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
)----
-4
&'
I
Foundation drains
, -
/-
Roof drains
411
City of liapo
Residential Sanitary Sewer Service
Compliance Inspection
DateL /21
Name c , ,
1
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
4" to 6" Transition:
White Copy: Property Owner
() (1
•— am
; pm
Disk #
PID Number
House Number Street Name
Alternative Mailing Address
.
! Own diYbccupani
LEM
2i 2
For information call 651.470.2788
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 Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
4 .
7
0 am
•
Time • 0 pm
Phone / 1 2- )
n sp ecto r Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O inspection
refused
-
(
% ) .
L ; -
Pink Copy: SEH