4368 Sandstone Dr - Inspection Form4. City olla as
Residential Sanitary Sewer Service
Compliance Inspection
Date„ 1
Name ) ! +� �Y'� ��•
PID Number
House Number
.2-47
Compliance
'No foundation drain connection
No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
Q am
Time pi pm
Disk#
Street Name
Owner /Occupant Signature
Non - Compliance
Alternative Mailing Address Phone "7.-116
For information call 651.470.2788
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
Poor•Pipe
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
, R r
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
�� r 0 am
Time
•
Inspector • Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: l �
Pink Copy: SEH
Number Discharged
Correctly incorrectly Unknown
Note ,
/f(' / J
1.7i
Total
Sump pumps
`
111
C r
� c I f :2„---).
i
Foundation drains
f '
mum
Roof drains
imi
4. City olla as
Residential Sanitary Sewer Service
Compliance Inspection
Date„ 1
Name ) ! +� �Y'� ��•
PID Number
House Number
.2-47
Compliance
'No foundation drain connection
No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
Q am
Time pi pm
Disk#
Street Name
Owner /Occupant Signature
Non - Compliance
Alternative Mailing Address Phone "7.-116
For information call 651.470.2788
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
Poor•Pipe
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
, R r
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
�� r 0 am
Time
•
Inspector • Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: l �
Pink Copy: SEH