4736 Walden Dr - Inspection FormCity of Eakan
Residential Sanitary Sewer Service
Compliance Inspection
Date I I / i ( ,i / f
Name s ,- A . "- Disk #
RID Number
House Number S treet Name
/ r
Alternative Mailing Address
4" to 6" Transition:
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
} �v 7'✓ p} am
Time 1 .. / i [ j pm
Owner /Occupant Si ure
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
Service Lateral Inspection Findings Number' of stacks Entered S at
Roots
Record Number
t
Notes
Time
Obstruction
Unable to push past
feet
/
•
•
Phone , __ I
Final Cleanout:
o am
O Pm
� 7 L )
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
_
l
���
Foundation drains
MI
Roof drains
City of Eakan
Residential Sanitary Sewer Service
Compliance Inspection
Date I I / i ( ,i / f
Name s ,- A . "- Disk #
RID Number
House Number S treet Name
/ r
Alternative Mailing Address
4" to 6" Transition:
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
} �v 7'✓ p} am
Time 1 .. / i [ j pm
Owner /Occupant Si ure
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
Service Lateral Inspection Findings Number' of stacks Entered S at
Roots
Record Number
t
Notes
Time
Obstruction
Unable to push past
feet
/
•
•
Phone , __ I
Final Cleanout:
o am
O Pm
� 7 L )
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Yellow Copy: City of Eagan Pink Copy: SEH