4253 Limestone Dr - Inspection Form
.f
Residential Sanitary Sewer Service
City of p Compliance Inspection
\f
Date.'- , Time • o pm Record Number
j j; • i'
Name A'f.`~~-3` Disk# Time • opm
PID Number
House Number Street Name
Phone
Alternative Mailing Address
Ownerl0ccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear water connections to Unable to push past O No one in
i sanitary sewer _ feet O Access to service
10 No roof drain connection O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
No sump pump O Flexible sump pump piping -
Service Lateral Inspection Findings Number of stacks i Entered S L at • _ t
Roots
Poor Pipejoints - -
Mineral Deposits -
Sag/Pipe Deflection Y-
Damaged Pipe
Transition
4" to 6" Transition-, Length of Service: _42 Final Cleanout: S! -
Notes _ r
Number Discharged
Total Correctly Incorrectly Unknown
F Sump pumps E
sa x
Foundation drains
Roof drains k
White Copy: Property Owner YCHOW Copy: City of Eagan Pink Copy: SEH