4332 Sandstone Dr - Inspection Formr City of tap
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name
O3L/ O am
/_ Time' pm
{-7 , /z4" ? /1 Disk #
PID Number
House Number e Street Name
Alternative Mailing Address
}
Co pliance
No foundation drain connection 0
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
X No sump pump 0
Service Lateral In e ction Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
7) /iL/
1 LL
Number of stacks
Non- Compliance
Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer.
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
am
•
• pm
Phone - ` feJ C�> ( X 84 7-
!n pector Signature
For information call 65 1:470:2788
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S . at '_:�` f>
4
Length of Service: (LT) s • -I—final inal Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
/^
(07
Number
Discharged
Correctly
lncorrectly
Unknown
Sump pumps
/ '
Foundation drains
i
Roof drains
��C?�`� ,
r City of tap
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
Name
O3L/ O am
/_ Time' pm
{-7 , /z4" ? /1 Disk #
PID Number
House Number e Street Name
Alternative Mailing Address
}
Co pliance
No foundation drain connection 0
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
X No sump pump 0
Service Lateral In e ction Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
7) /iL/
1 LL
Number of stacks
Non- Compliance
Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer.
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
am
•
• pm
Phone - ` feJ C�> ( X 84 7-
!n pector Signature
For information call 65 1:470:2788
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S . at '_:�` f>
4
Length of Service: (LT) s • -I—final inal Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH