4254 Limestone Dr - Inspection FormCity ill Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Dated °; 1`I lr�/
I
Name }
44 �
1 ,r"')
PID Number
House Number ) / '" - Street Name
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
o sump pump
4" to 6" Transition:
White Copy: Property Owner
Time %,•
Disk #
am
pm
; i ce .p �.�' -. ✓ ''d ry
Ownerl0ccu$ant Signature
Non - Compliance
Service Lateral Inspection Findings Number of stacks
�1
1
Damaged Pipe
Transition r i ) � % ,� ..; `) y -- :�- i ': 44 r-';
Yellow Copy: City of Eagan
Record Number
"ime
Phone _
Obstruction
Entered S L at
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
O am
1
pm
For information call 651.470.2788
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O inspection
r efused
c..
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Length of Service: Final Cleanout:
Pink Copy: SEH
Notes
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
1 /
Foundation drains
Roof drains
City ill Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Dated °; 1`I lr�/
I
Name }
44 �
1 ,r"')
PID Number
House Number ) / '" - Street Name
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
o sump pump
4" to 6" Transition:
White Copy: Property Owner
Time %,•
Disk #
am
pm
; i ce .p �.�' -. ✓ ''d ry
Ownerl0ccu$ant Signature
Non - Compliance
Service Lateral Inspection Findings Number of stacks
�1
1
Damaged Pipe
Transition r i ) � % ,� ..; `) y -- :�- i ': 44 r-';
Yellow Copy: City of Eagan
Record Number
"ime
Phone _
Obstruction
Entered S L at
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
O am
1
pm
For information call 651.470.2788
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O inspection
r efused
c..
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Length of Service: Final Cleanout:
Pink Copy: SEH