4386 Sandstone Dr - Inspection Formsr-'22(.1
Date '� _Lr//1 _ 1 .
Residential Sanitary Sewer Servic
Compliance Inspection
' /•r Oam
Time' • ''� >O pm
Name -/-9G.-71/4.'
Disk #
PID Number
Record Number.
Time
Cy am
•
• O pm
House Number • ' c D Street Name -„%r,<`•. �'-`•f '°t l'=
Alternative Mailing Address Phone (.!--7,1:-'5
• r`
II
OwnerlQccupant Signature
inspector Signature
For information call 65 L470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Non -Compliance
0
O
O
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Obstruction
Unable to push past
feet
oAccess
No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Number of stacks Entered S. L at
Sag/Pipe Deflection ' /A,✓
Damaged Pipe
Transition
Lit s, k e
v3 &e 1065/v
4” to 6"Transition:
Length of Service:
Final Cleanout:
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Total
Notes
i ' ,--1-'1
�''
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Cit orta a
Residential Sanitary Sewer Service
Compliance Inspection
Date t"'2 7/ /j/;
Time /61
• 2(] o am
• O pm
Narne / 'fit/ e% %7CS- Disk #
PID Number
House Number 41/72p Street Name �� �S�c� /),•
Alternative Mailing Address
0
1
z
7
Record Number
Owner/Occupant Signature
r
am
Time •J fpm
Phone //C./)
Lt.
.1 Inspector Signature
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
JN,No sump pump
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
Obstruction
linable to push past
feet,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Number of stacks Entered S.L at P9 c '
Roots
Poor Pipe Joints
Mineral Deposits ei
Sag/Pipe Deflection .
-17
Damaged Pipe
Transition
4" to 6" Transition:
.Length of Service:
y
Final Cleanout:
Total
Number Discharged.
Correctly
Incorrectly Unknown
Sump pumps"
—
Foundation drains
,
/
..__---_—.__.
_____ ._____
Roof drains
. `'
p-_____ --..-_
__..___ ____.
Notes 2 e
White Copy: Property Owner
Yellow Copy: City of Eagan Pink Copy: SEH