4641 Stonecliffe Dr - Inspeciton Form41111
Efty of tap
Residential Sanitary Sewer Service
Compliance Inspection
Date 0/ /
Name //:4-7 Lcize
PID Number
House Number Street Name
Alternative Mailing ACICriis
Compliance
0 No foundation drain connection
roof drain connection
Sump pit not connected to
sanitary sewer
t5 Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
/ \ .
Owner/Occupant Signature
• 0 am
Time b'
Disk #
0
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
--
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time /,/ • o a
r-- m
•
0-
Phone 4s 4?7 -
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered 5 L at 4/cd C
Roots
Poor.PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition 1 /L /C. -
Final Cleanout:
"7)
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes , s-:_;. 6 . --
z ,.. Ayi, ,. .)6_ , -.4- , a-/-
. ...4.,.....---,„.....5--
,
--- :74
Total
Sump pumps
1
----__
Foundation drains
..,--%
-----
,
Roof drains
(' .
..6
';4°.:-/
______.___
-------___
41111
Efty of tap
Residential Sanitary Sewer Service
Compliance Inspection
Date 0/ /
Name //:4-7 Lcize
PID Number
House Number Street Name
Alternative Mailing ACICriis
Compliance
0 No foundation drain connection
roof drain connection
Sump pit not connected to
sanitary sewer
t5 Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
/ \ .
Owner/Occupant Signature
• 0 am
Time b'
Disk #
0
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
--
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time /,/ • o a
r-- m
•
0-
Phone 4s 4?7 -
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered 5 L at 4/cd C
Roots
Poor.PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition 1 /L /C. -
Final Cleanout:
"7)
Pink Copy: SEH