4380 Sandstone Dr - Inspection FormCity of Emu
Residential Sanitary Sewer Service
Compliance Inspection
Date
f�4
Name 1 .'�f r� `�! ! Disk #
PID Number
r ,
House Number i i Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
! No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
:CI() am
Time pm
Ow erfOccupant 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 '7
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
; t c 2-
;
Transition
4" to 6 "Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number.
Time
•
Phone
rte-
/ i
/T2 j I ` °l
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at
t
Pink Copy: SEH
Number
Discharged
Incorrectly Unknown
Notes
Agi",:s.2 :
b( 6V
Total Correctly
Sump pumps
MEI
Foundation drains
lin
Roof drains
_i,°`
City of Emu
Residential Sanitary Sewer Service
Compliance Inspection
Date
f�4
Name 1 .'�f r� `�! ! Disk #
PID Number
r ,
House Number i i Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
! No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
:CI() am
Time pm
Ow erfOccupant 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 '7
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
; t c 2-
;
Transition
4" to 6 "Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number.
Time
•
Phone
rte-
/ i
/T2 j I ` °l
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at
t
Pink Copy: SEH