4324 Sandstone Dr - Inspection FormCity of Ea ll
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 / I ✓'
Name /
PID Number
House Number - 2- - Street Name
Alternative Mailing Address
For information call 65 470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Owner/Occupant Signature
Service Lateralpektion Findings
Roots
Poor Pipe joints
4" to 6" Tr ansition:
White Copy: Property Owner
j / , ;�( e am
Time k{
fir%
4
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
A
Number of stacks I Entered S L at
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe pp
Transition ▪ r:-.7 - — C
Record Number
te v
1/
Time 0 p
Phone �''7
Inspector Signature
Obstruction
Unable to push past
feet
Length of Service: � r *inal Cleanout: � - „)
Notes
LS gi
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
0
Foundation drains
CY
Roof drains
/ /!)
City of Ea ll
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 / I ✓'
Name /
PID Number
House Number - 2- - Street Name
Alternative Mailing Address
For information call 65 470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Owner/Occupant Signature
Service Lateralpektion Findings
Roots
Poor Pipe joints
4" to 6" Tr ansition:
White Copy: Property Owner
j / , ;�( e am
Time k{
fir%
4
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
A
Number of stacks I Entered S L at
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe pp
Transition ▪ r:-.7 - — C
Record Number
te v
1/
Time 0 p
Phone �''7
Inspector Signature
Obstruction
Unable to push past
feet
Length of Service: � r *inal Cleanout: � - „)
Notes
LS gi
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH