4362 Sandstone Dr - Inspection Formr City of Eag an
Residential Sanitary Sewer Service
Compliance Inspection
Date 07/ ✓a
Name' JO " 4 4'4I,2? Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
' sanitary sewer
�.K Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
lr 1
Time
�+ • s _ O am
/i •_! %U ,&p
f -- 6" Street Name
Owner /Occupant Signature
Service Lateral inspection Findings
Roots <S S ~
l (OAS ) CLAY-)
2 DE [del
For information . call 651:470.2788
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 of stacks ( Entered S.L.at J 'Mr
Poor Pipe Joints
Mineral Deposits <
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
I�>I
® mss oam
Time/-r ® GS�pm
P hone !
i t s/
/inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
Notes '.
A ( 5
g ity ^ J .<
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
i
Foundation drains
Roof drains
r City of Eag an
Residential Sanitary Sewer Service
Compliance Inspection
Date 07/ ✓a
Name' JO " 4 4'4I,2? Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
' sanitary sewer
�.K Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
lr 1
Time
�+ • s _ O am
/i •_! %U ,&p
f -- 6" Street Name
Owner /Occupant Signature
Service Lateral inspection Findings
Roots <S S ~
l (OAS ) CLAY-)
2 DE [del
For information . call 651:470.2788
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 of stacks ( Entered S.L.at J 'Mr
Poor Pipe Joints
Mineral Deposits <
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
I�>I
® mss oam
Time/-r ® GS�pm
P hone !
i t s/
/inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
Notes '.
A ( 5
g ity ^ J .<
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH