4722 Walden Dr - Inspection Form1 City of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date ) / / //)
Name
1 . ✓� / L -s Disk # [
PID Number
House Number Street Name
d Owner /Occupant Signature
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
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
• `- L o am
Time • ' of pm
Length of Service:
Yellow Copy: City of Eagan
Time
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
Record Number
eipt
Alternative•MailingAddress Phone . •77
l /
Number of stacks Entered S.L at
Obstruction
Unable to push past
feet
inspector Signature ) 1,4
For information call 651.470.2788
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
• am
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
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Number
Discha
ged
Correctly
Incorrectly
Unknown
Sump pumps
,-
- —
.
Foundation drains
Roof drains
%
f;
1 City of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date ) / / //)
Name
1 . ✓� / L -s Disk # [
PID Number
House Number Street Name
d Owner /Occupant Signature
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
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
• `- L o am
Time • ' of pm
Length of Service:
Yellow Copy: City of Eagan
Time
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
Record Number
eipt
Alternative•MailingAddress Phone . •77
l /
Number of stacks Entered S.L at
Obstruction
Unable to push past
feet
inspector Signature ) 1,4
For information call 651.470.2788
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
• am
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH