4235 Sandstone Dr - Inspection FormCity ofEa au
Residential Sanitary Sewer Service
Compliance Inspection
Date `.1 ,, I
Name / Disk #
PID Number
House Number
Alternative Mailing Addr
l r/
1i1s
. 1 i'7ff/!ft
•
O 4inerlOccupant S i gnature
For information .cal! 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
No sump pump
4" to 6" Transition:
White Copy: Property Owner
•
Time
r ,., " . Qam
. `� pm
Street Name
O
O
O
O
O
Non- Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition L . =- /5:-
Length of Service:
Record Number
Entered S.L at
Notes
r
lime
•
•
Obstruction
Unable to push past
feet
o
pm
Phone
T
Inspector Signature
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
r efused
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
-
k._
Foundation drains
—
V
Roof drains
- - - - --
_____
.-.
City ofEa au
Residential Sanitary Sewer Service
Compliance Inspection
Date `.1 ,, I
Name / Disk #
PID Number
House Number
Alternative Mailing Addr
l r/
1i1s
. 1 i'7ff/!ft
•
O 4inerlOccupant S i gnature
For information .cal! 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
No sump pump
4" to 6" Transition:
White Copy: Property Owner
•
Time
r ,., " . Qam
. `� pm
Street Name
O
O
O
O
O
Non- Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition L . =- /5:-
Length of Service:
Record Number
Entered S.L at
Notes
r
lime
•
•
Obstruction
Unable to push past
feet
o
pm
Phone
T
Inspector Signature
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
r efused
Yellow Copy: City of Eagan Pink Copy: SEH