4308 Sandstone Dr - Inspection FormCity of Fajai
Residential Sanitary Sewer Service
Compliance Inspection
Dated /
Name 1' y I NAk2 5 Disk #
PID Number
House Number , fr Street Name
Alternative Mailing Address
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
Service Lateral Inspection Findingsi / Number of.stacics
r> 2 / i / , J .- ACS
Roots -/ / - 1-,K' <- i ( f
Poor Pipe Joints
Transition 2
4" to 6 "Transition: !
OwnerlOccupant Signature
White .Copy: Pi Owner
L/1
Time Ir / s pm
Length of Service:
For information .call 651.470.2788
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
Entered. at
Yellow Copy: City of Eagan
Record Number
Time pm
Obstruction
Unable to push past
feet
Phone
Inspector Signature
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
._ .
1/
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Notes
f
Total
Incorrectly'?
` Unknown
Sump pumps
31
Foundation drains
`
Roof drains
City of Fajai
Residential Sanitary Sewer Service
Compliance Inspection
Dated /
Name 1' y I NAk2 5 Disk #
PID Number
House Number , fr Street Name
Alternative Mailing Address
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
Service Lateral Inspection Findingsi / Number of.stacics
r> 2 / i / , J .- ACS
Roots -/ / - 1-,K' <- i ( f
Poor Pipe Joints
Transition 2
4" to 6 "Transition: !
OwnerlOccupant Signature
White .Copy: Pi Owner
L/1
Time Ir / s pm
Length of Service:
For information .call 651.470.2788
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
Entered. at
Yellow Copy: City of Eagan
Record Number
Time pm
Obstruction
Unable to push past
feet
Phone
Inspector Signature
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
._ .
1/
Final Cleanout:
Pink Copy: SEH