1362 Camelback Dr - Inspection FormCity of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
Date / l / f ] / /(
Name
l
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4” to 6 "Transition:
White Copy: Pioperty Owner
Time
a am
• %O pm
D sk # EL H_Ll [—Li Li Time
PID Number. }}
House Number ! P. Street Name % / 244 ' /� l
0wnerlOcc ipent Signature
For information calf 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
Service Lateral Inspection Findings 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
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
Phone /.. � f 7 % mC�
Inspector Signature ),,$) � }
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
•
Number Discharged
Unknown
Notes
.- -_' ' ._ 5 "� r y e
� ,, .
r _ ' „,/,.....
7
1 �
Total
Correctly
Incorrect)
Sump pumps
Foundation drains
Roof drains
City of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
Date / l / f ] / /(
Name
l
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4” to 6 "Transition:
White Copy: Pioperty Owner
Time
a am
• %O pm
D sk # EL H_Ll [—Li Li Time
PID Number. }}
House Number ! P. Street Name % / 244 ' /� l
0wnerlOcc ipent Signature
For information calf 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
Phone /.. � f 7 % mC�
Inspector Signature ),,$) � }
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
•