4680 Cambridge Dr - Inspection Form111 ,.!" . City of Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name rTh
PID Number
House Number.
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
r�.
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered St at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
' am
Time • p
/9--- ! ' 7 Disk #
0wnerlOccupant Signature
J--ifi
.rte
' Street Name ✓'� .���';
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
• o am
• o pm
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Pink Copy: SEH
Number Discharged
Unknown
Notes
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J / . f 1
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Total
Correctly
Incorrect)
Sump pumps
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�
i'
v- -/f . r�
I
Foundation drains
Roof drains
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111 ,.!" . City of Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name rTh
PID Number
House Number.
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
r�.
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered St at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
' am
Time • p
/9--- ! ' 7 Disk #
0wnerlOccupant Signature
J--ifi
.rte
' Street Name ✓'� .���';
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
• o am
• o pm
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Pink Copy: SEH