4259 Limestone Dr - Inspection FormSump pumps
Foundation drains
Roof drains
'
r City of to as
Residential Sanitary Sewer Service
Compliance Inspection
Date II /
Name
PID Number
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit riot connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service L_atpr)
Roots
Poor Pipe Joints
Transition
4" to b" Transition:
. J}
/ i,
OwnerlOccupant Signature
White Copy: Pr operty Owner
1 Inspection Findings
f70(
' yam
Time ,l'� pm
Disk #
Total Correctly
mMilm
Incorrectly
r
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
r r
Number Discharged
Unknown
Yellow Copy: City of Eagan
Record Number
Street Name
Phone -) — 1 . )
• am
Time ! / • pm
Inspector Signature
obstruction
Unable to push past
feet
Entered 5 L at
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Notes,
J v.
r
Length of Service: /' _final Cleanout:
fit oa u//
For information call 651.470.2788
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH