1400 Camelback Dr - Inspection FormC of Ea Ji
Residential Sanitary Sewer Service
Compliance Inspection
Date / / / / ! 1 ,, Time
Name r s� : Disk #
PID
Number
House Number• 2 Street Name
Alternative Mailing Address
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
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
White Copy: Property COwne
0_2;6, O. 1 am
• 1prn
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Sag /Pipe Deflection
Damaged Pipe
Transition
Number of stacks
AA
Length of Service:
Yellow Copy: City of Eagan
Record Number s�
-f T_71 1 Time
O am
•
• O pm
Phone l _ (i
Entered St at
Obstruction
Unable to push past
feet
Inspector Signature J J # ) } V i
Final Cleanout:
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
Discharged
Correctly
Incorrectly Unknown
Sump pumps
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f
Foundation drains
Roof drains
C of Ea Ji
Residential Sanitary Sewer Service
Compliance Inspection
Date / / / / ! 1 ,, Time
Name r s� : Disk #
PID
Number
House Number• 2 Street Name
Alternative Mailing Address
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
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
White Copy: Property COwne
0_2;6, O. 1 am
• 1prn
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Sag /Pipe Deflection
Damaged Pipe
Transition
Number of stacks
AA
Length of Service:
Yellow Copy: City of Eagan
Record Number s�
-f T_71 1 Time
O am
•
• O pm
Phone l _ (i
Entered St at
Obstruction
Unable to push past
feet
Inspector Signature J J # ) } V i
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH