4224 Moonstone Dr - Inspection FormCity OI.FR p
Residential Sanitary Sewer Service
Compliance Inspection
House Number
4" to b" Transition:
White Copy: Property Owner
pliance
No foundation drain connection
No roof drain connection
fi
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
2
PID Number
Street Name
Alternative Mailing Address
Owner /Occupant Signature
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 La eral In ection Findings mber of stacks -
Roots _��'J 3
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r4
1�
Record Number
/
Obstruction
Unable to push past
feet.
Notes
_ • Cam -,,_' am
Time e 7 pm
Inspector Signature
Phone r! ") ° )-1 t l
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
red S "L at
Length of Service: h ; ; l Final Cleanout: r %
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number.
Discharged
Correctly
incorrectly
Unknown
Sump pumps .
.
_
Foundation drains
Roof drain
City OI.FR p
Residential Sanitary Sewer Service
Compliance Inspection
House Number
4" to b" Transition:
White Copy: Property Owner
pliance
No foundation drain connection
No roof drain connection
fi
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
2
PID Number
Street Name
Alternative Mailing Address
Owner /Occupant Signature
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 La eral In ection Findings mber of stacks -
Roots _��'J 3
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r4
1�
Record Number
/
Obstruction
Unable to push past
feet.
Notes
_ • Cam -,,_' am
Time e 7 pm
Inspector Signature
Phone r! ") ° )-1 t l
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
red S "L at
Length of Service: h ; ; l Final Cleanout: r %
Yellow Copy: City of Eagan Pink Copy: SEH