1393 Camelback Dr - Inspection Form4 1. City of ha ap
Y i�
Residential Sanitary Sewer Service
Compliance Inspection
Date I ? I
PID Number
I' /
(
Name -, T` ! ...-' � t i
7
House Number - f'7. Street Name
Alternative Mailing Adress
'ta _ , V
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
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 " Transition:
White Copy: Property Owner
7 JJ �•` r ¥am
Time .I / • /6 pm
Disk#
OwnerlOccupant Signature
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
!
Phone J } a L
Obstruction
Unable to push past
feet
Inspector Signature,„ �' v
Entered S.L at
Final Cleanout:
• O am
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
) , , ' - : / .. � I f /i ;�
- 7r' 77
/ ' � ' '� X V r /1 � . ] 1.--, °�'.
_ f
Total
Sump pumps
r�
/ i %) 9 , % x'
1/
- ' 1
Foundation drains
Roof drains
) 1
1
MEI
4 1. City of ha ap
Y i�
Residential Sanitary Sewer Service
Compliance Inspection
Date I ? I
PID Number
I' /
(
Name -, T` ! ...-' � t i
7
House Number - f'7. Street Name
Alternative Mailing Adress
'ta _ , V
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
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 " Transition:
White Copy: Property Owner
7 JJ �•` r ¥am
Time .I / • /6 pm
Disk#
OwnerlOccupant Signature
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
!
Phone J } a L
Obstruction
Unable to push past
feet
Inspector Signature,„ �' v
Entered S.L at
Final Cleanout:
• O am
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH