4295 Sandstone Dr - Inspection FormCity of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name _!
PID Number
House Number
4" to 6" Transition:
Alternative Mailing Address
r.
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
Street Name
Owner-rOcetr1 Signature
L._.
/
Disk #
t/ j
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Phone i
inspector Signature
For information call 651:470:2788
Obstruction
Unable to push past
feet
Entered S.L.at`
a
/r
I
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition.
) --
Pink Copy: SEH
Total
Notes
Number
Discharged
Cor rectly
lnorrectly
Unknown
Sump pumps
1
N
Foundation drains
,,,,,
Roof drains
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name _!
PID Number
House Number
4" to 6" Transition:
Alternative Mailing Address
r.
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
Street Name
Owner-rOcetr1 Signature
L._.
/
Disk #
t/ j
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Time
Phone i
inspector Signature
For information call 651:470:2788
Obstruction
Unable to push past
feet
Entered S.L.at`
a
/r
I
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition.
) --
Pink Copy: SEH