4323 Sandstone Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
,
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41W • •
Citj ot tap')
Residential Sanitary Sewer Service
Compliance inspection
),./)
Date'?) t
Name
I-louse Number
Alternative MailingAddress
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1
No sump pump
(71.
Transition "2/
4" to 6" Transition:
White Copy: Pt oper ty Owner
Total
Time
"V) Disk #
PID Number
, - )Street Name
Owner/Occupant Signature
Correctly
Pm
4
Incorrectly
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 •
Unknown
Record Number
Time L 7 L . Prn
Phone / 77 )
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks - 1 / Entered S L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Length of Service- "
Final Cleanout: (-)
.,-- —
6,4 /
I
Yellow Copy: City of Eagan Pink Copy: SEH