1366 Camelback Dr - Inspection FormAlternative
1 1111 0 -
City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
(-)
Date ) )
_
Name Disk#
PID Number
House Number
/
For information call 651.470.2788
Service Lateral Inspection Findings
Roots
Compliance
O No foundation drain connection
O No roof drain connection
y Sump pit not connected to
\ sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
ailing Address
White Copy: Property Owner
arn
Time • Qpm
Street Name
.brtner/Occupcht Signature
Non-Compliance
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Time
am
•
• 0 pm
)
P"`"
... •
Obstruction
Unable to push past
feet.
Inspector Signature '7)1
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L at
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
i ., ",.)---7.7 -:,,, e, , 1 / ..e .,/, „,,,,,...,... ; :... 7 .-b.:: i
A -,
.,,
/ e 1 / '--,' ' i
„. .
Total
Sump pumps
I , , ,
/1-.
''
Foundation drains
Roof drains
Alternative
1 1111 0 -
City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
(-)
Date ) )
_
Name Disk#
PID Number
House Number
/
For information call 651.470.2788
Service Lateral Inspection Findings
Roots
Compliance
O No foundation drain connection
O No roof drain connection
y Sump pit not connected to
\ sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
ailing Address
White Copy: Property Owner
arn
Time • Qpm
Street Name
.brtner/Occupcht Signature
Non-Compliance
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Time
am
•
• 0 pm
)
P"`"
... •
Obstruction
Unable to push past
feet.
Inspector Signature '7)1
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L at
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH