4283 Sandstone Dr - Inspection FormSump pumps
Cy
Foundation drains
7 ;
Roof drains
Li
City af Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Name 1 ] s tI \) ) ) f
Date
PID Number.
House Number
Street Name
Co ',fiance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service La
Roots C '
pection Findi
Mineral Deposits
(Sag /Pipe Deflection
Damaged Pipe
Transition " ( i
4" to 6 "Transition:
White Copy: Pr operty Owner
Time e •
Disk #
wnerlOccupant Signature
S
t
pm
Total Correctly Incorrectly Unknown
Record Number
Alternative Mailing Address
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
Number of stacks
Length of Service:
Number Discharged
O am
Time \ • pm
Phone
For information call 651.470.2788
inspe or Signature
Obstruction
Unable to push past
feet
Entered S L at
Poor Pipe joints
Notes
(r
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
r
Yellow Copy: City of Eagan Pink Copy: SEH