4229 Moonstone Dr - Inspection Form
Residential Sanitary Sewer Service.
! I~ Compliance Inspection
000 D am
Date Time ~Pm Record Number
rr _11501 o am
Disk # , ; j / ! v% I f Time Name Pm
PID Number 1 1 Il
House Number Street Name/ rf~i' W !rte/_
Alternative Mailing Address Phone
Ownerl0ccupant Signature Inspector Signature
For information call 651.470.2788 Wo
Compliance Non-Compliance Obstruction No Access
f~ No foundation drain connection O Clear water- connections to Unable to push past O No one in
No roof drain connection sanitary sewer feet O Access to service
f O Service lateral defects
O Sump pit not connected to lateral needed
sanitary sewer O Defective manholes O Inspection
O Sump pump connected to sanitary
O Sump pump properly piped sewer, refused
t
No sump pump O Flexible sump pump piping
Entered S.L, at
Service Lateral Inspection Findings Number of stacks / _
Roots
Poor Pipe Joints
Mineral Deposits (nj
Sag/Pipe Deflection
Damaged Pipe t
-7`
f Transition, cam! A +-j e r~
4" to b"Transition: Length of Service: Final Cleanout:
Notes
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
r'
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pb* nCopy: SPH