4374 Sandstone Dr - Inspection FormElty of a a
Residential Sanitary Sewer Service
Compliance Inspection
DateI D1 )/
Alternative MailingAddress
oripliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
f
No sump pump
HD Number
f
House Number . � m ,f Street Name
)Owner' /Occupant Sigrfatur \
Service ter !lop � t i on F
Roots 7 ,�-
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
c
White Copy: Property Owner
Time •
of am
pm
1
Length of Service:
Yellow Copy: City of Eagan
i
Record Number
Phone
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
Obstruction
Unable to push past
feet
Entered S L at
ime
inspector Signature
• J am
• 9 pm
'", ""_. , �N��. » -,�
For information call 651
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: e
-_2 2
Pink Copy: SEH
Total
Nurwber
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
6/1
Foundation drains
Roof drains
Elty of a a
Residential Sanitary Sewer Service
Compliance Inspection
DateI D1 )/
Alternative MailingAddress
oripliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
f
No sump pump
HD Number
f
House Number . � m ,f Street Name
)Owner' /Occupant Sigrfatur \
Service ter !lop � t i on F
Roots 7 ,�-
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
c
White Copy: Property Owner
Time •
of am
pm
1
Length of Service:
Yellow Copy: City of Eagan
i
Record Number
Phone
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
Obstruction
Unable to push past
feet
Entered S L at
ime
inspector Signature
• J am
• 9 pm
'", ""_. , �N��. » -,�
For information call 651
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: e
-_2 2
Pink Copy: SEH