4278 Sandstone Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
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4111111 City of Cap!!
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 6 / / f /
Name LeC 7 (.7 Disk #
IDID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
e!CRIo foundation drain connection
fr No roof drain connection
O Sump pit not connected co
sanitary sewer
O Sump pump properly piped
_poNo sump pump
I,
Roots J ASC,
Service f Later al 1 tion Findings Number of stacks Entered S L a t
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe /
Transition '?. (.1r —'''' /94\/ /
• (I 6 4'(-- Ig 5
7 7—
4" to 6" Transition: HA Length of Service: 7 •
White Copy: Property Owner
Time // • 0 PM
Owner/Occupant Signature
Street Name
6i 1 i-[Li]
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 Discharged
Total Cor rectly Incorrectly known
Yellow Copy: City of Eagan
Record Number
Notes
one
// • S
Time
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
CI am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
rk2
Pink Copy: SEH