4302 Sandstone Dr - Inspection FormCity ill Ca
Residential Sanitary Sewer Service
Compliance Inspection
Date ' %ri /
4" to 6" Transition:
Name o %� ��/1r�•f sk# ®/
PID Number
1
House Number Street Name
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
/ Sump pump properly piped
)06 No sump pump
White Copy: Property Owner
Owner /Occupant Signature
.'2
.C-'✓ 9 am
Time g . p
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
Y7 1
Time •
3
Phone (, !r,' / / &7f
Inspector Signature
am
pm
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Later�aJnspectiop Findings urr of stacks
Roots 5.. i r=
Poor PipeJoints
Mineral Deposits
i~=%
(Sag/Pipe Deflection 3' e ---,—
Damaged Pipe I
3 3 r_, f; k .-- i t �3, j
'Transition / 1 f ; ' i �- - ( -1 j ' r ' -�
-1
/ 1 .�
Length of Service: Pina1 Cleanout:
Entered S L.at
Pink Copy: SEH
j
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
f.
Foundation drains
(9
Roof drains
l !`
City ill Ca
Residential Sanitary Sewer Service
Compliance Inspection
Date ' %ri /
4" to 6" Transition:
Name o %� ��/1r�•f sk# ®/
PID Number
1
House Number Street Name
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
/ Sump pump properly piped
)06 No sump pump
White Copy: Property Owner
Owner /Occupant Signature
.'2
.C-'✓ 9 am
Time g . p
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
Y7 1
Time •
3
Phone (, !r,' / / &7f
Inspector Signature
am
pm
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Later�aJnspectiop Findings urr of stacks
Roots 5.. i r=
Poor PipeJoints
Mineral Deposits
i~=%
(Sag/Pipe Deflection 3' e ---,—
Damaged Pipe I
3 3 r_, f; k .-- i t �3, j
'Transition / 1 f ; ' i �- - ( -1 j ' r ' -�
-1
/ 1 .�
Length of Service: Pina1 Cleanout:
Entered S L.at
Pink Copy: SEH
j