4350 Sandstone Dr - Inspection FormO i D'
City of Ealai
Residential Sanitary Sewer Service
Compliance Inspection
DateC, 1 ZZ / /
Name Zfl 4
PID Number r -
House Number
Alternative Mailing Address
Aian
Corpliance
,„0 No foundation drain connection
A 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: P : - operty Owner
am
Time • (
Disk #
•
Owner /Occupant Signature
O Length of Service:
0
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
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
O am
( 0,1
Street Name _ -4 - V7) f j -; `'t//("'
P gne _ ( 7 1 /57 - 9
For . information call 651:470.2788
Obstruction No Access
Unable to push past 0 No one in
feet
Service _ateral Inspection Findings Number of stacks 1 Entered S L at .�
Final Cleanout:
O Access to service
lateral needed
O inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r
Pink Copy: SEH
Total
Notes ( ,- 7
1/ }f ' 0 c/z.3
, /),, ,i ,,, n ;
Number
Dischar .
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
._...-______--
° '"'
Roof drains
O i D'
City of Ealai
Residential Sanitary Sewer Service
Compliance Inspection
DateC, 1 ZZ / /
Name Zfl 4
PID Number r -
House Number
Alternative Mailing Address
Aian
Corpliance
,„0 No foundation drain connection
A 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: P : - operty Owner
am
Time • (
Disk #
•
Owner /Occupant Signature
O Length of Service:
0
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
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
O am
( 0,1
Street Name _ -4 - V7) f j -; `'t//("'
P gne _ ( 7 1 /57 - 9
For . information call 651:470.2788
Obstruction No Access
Unable to push past 0 No one in
feet
Service _ateral Inspection Findings Number of stacks 1 Entered S L at .�
Final Cleanout:
O Access to service
lateral needed
O inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r
Pink Copy: SEH