4277 Sandstone Dr - Inspection FormsResidential Sanitary Sewer Service
Compliance Inspection
Date
) `9
Name/ r ,-` Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks Entered S. L at
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time
t
!� Street Name
•
Owne /Occupant Signature
•a
• O pm
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:
Record Number
Phone
Time
• Oam
• O pm
-. i._. is -° r
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
.1 / / /' f- f
Yellow Copy: City of Eagan
No Access
O No one in
/,'' I Access
4
to service
F lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Ntes
: r , 1 .',, , /
. ryr ✓0?`. - '' % d "' -" '
1
/gem i
e o'
t iy 1
r' - .� -?
1 , / / ' ! _. '' , J� / 'z" =f
r (. 4 eY� d;
Total
Sump pumps
Foundation drains
Roof drains
C „rte „:
Residential Sanitary Sewer Service
Compliance Inspection
Date
) `9
Name/ r ,-` Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks Entered S. L at
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time
t
!� Street Name
•
Owne /Occupant Signature
•a
• O pm
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:
Record Number
Phone
Time
• Oam
• O pm
-. i._. is -° r
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
.1 / / /' f- f
Yellow Copy: City of Eagan
No Access
O No one in
/,'' I Access
4
to service
F lateral needed
O Inspection
refused
Pink Copy: SEH
4 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 ) 7/ )
Time
Name )"4., (1/1 Disk #
PID Number
House Number Y :. /` /` Street Name
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
i
Ownericrecupari't S ignature
A
Yellow Copy: City of Eagan
ra
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
Record Number
Time
Obstruction
Unable to push past
feet.
1
• ."
!. Oam
°t' pm
)(2 /
Alternative Mailing Address _ : Phone /� )-- li i�
Inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number • o f stacks .. ° Entered S,L,at :} 3r
Roots 1 - - - -V - -4-
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: , ` > -} Final Cleanout:
Pink Copy: SEH
Number Discharged
Correctly incorrectly Unknown
---
IIIII
Notes
Total
Sump pumps
� �i
IIM
Foundation drains
Roof drains
1
�®
4 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 ) 7/ )
Time
Name )"4., (1/1 Disk #
PID Number
House Number Y :. /` /` Street Name
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
i
Ownericrecupari't S ignature
A
Yellow Copy: City of Eagan
ra
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
Record Number
Time
Obstruction
Unable to push past
feet.
1
• ."
!. Oam
°t' pm
)(2 /
Alternative Mailing Address _ : Phone /� )-- li i�
Inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number • o f stacks .. ° Entered S,L,at :} 3r
Roots 1 - - - -V - -4-
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: , ` > -} Final Cleanout:
Pink Copy: SEH