4248 Sandstone Dr - Inspection Form- ---
-- Total
Notes 6c/ 1/e( j- ' "-, ," ,'
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Number
Discharged
Correctly
mss"
"-
Incorrectly
Unknown
f
(Sump pumps do .'.(Af • 1 -'
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v
—
Foundation drain
Roof drains
- -''r
mac_%
cCity o[Fai.
Residential Sanitary Sewer Service
Compliance Inspection
Date( 27 ! 1 /t7 Time .. c)r.' }pm
Name /f,°/ /2 ✓/717�Zri ✓:x Disk #
PID Number
House Number 41 t :e f Street Name
Alternative Mailing Address
4" to 6 "Transition:
Owner /occupant Signature
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
PO' Sump pump properly piped
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
i
Transition L !. >' '"
White Copy: Property Owner
EE1-11]
e 1:5
f-.
> :,) f Z
For information call 651.47
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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots 5
Poor Pipe Joints
Length of Service:
Yellow Copy: City of Eagan
Record Number'
Phone i /). 4 Y
/
/ 7;
Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
5
Time
Qt. am
d pm
s
O Inspection
refused
O Access to service
lateral needed
Final Cleanout: A ,
Pink Copy: SEH