4272 Moonstone Dr - Inspection FormSump pumps
..
Foundation drains
I
1
,
Roof drains
1,Ao
411 1111111
City of EaR4ii
R sideritial Sariitary Sewer Service
e C omp li ance Inspection
. Dateed / Z 1
Name
PID Number
House Number 7 7
Time • To ifam
• - o pm
Disk #
Street Name
Alter native Mailing Address
/.
OwnerlOccupant Signature
Compliance
O No foundation drain connection
.45 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe Joints
Mineral Deposits t'.
Sag/Pipe Deflection /
4" to 6" Transition:
White Copy: Property Owner
8,
P
Transition
1
For information call 651A70.2788
Non-Compliance
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
Service Lateral lns ection Findings Number of stacks
Roots 7- 8
Damaged Pipe
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown,
Yellow Copy: City of Eagan
Record Number
o g 4't
Time 6) 2 4 : <7 p
Phone ) 0./ -S
_
/1/
/ .,7
•-'"?' inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
,/
Final CI eanout:
O Access to service
lateral needed
O Inspection
refused
J
Entered S L at
Notes d2
1ki7D 7
& 7 w 2
Pink Copy: SEH