4338 Sandstone Dr - Inspection Form/
Number Discharged
Notes ;;1 • v4/ 4 � .,.. ":, /L._ 7?,r
.. - _ Gjj `� er }�w.,,,,.. (. -- -. 7.
' 4/c ././C . J f 1 e'.'t' 7 1J'' ,, -, -_
i X / . t'0M -,. -L.:2 �
1.J7 f
Total
Correctly
Incorrectly
Unknown
Sump pumps
I
4
Foundation drains
Roof drains
� �f
`°
City of is iii
Residential Sanitary Sewer Service
Compliance Inspection
2,-//
Date 677 / /c'
Name ,E0 r✓c ' OL/CDisk
P[D Number
House Number �-
Alternative Mailing Address
t
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition: f
White Copy: Property Owner
/s •3 loam
Time /� • O pm
0
Street Name
7l -LLl
Number of stacks
J ._ L ength of Service:
Non-Compliance , , E ,.�
Clear water°conn 4tionsto_,
sanitary sewer ry 5r4;lG- c/a
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
-eive1;19 c 577--1
/ 1 • s -"' A.am
Time • • O pm
Obstruction
71.1 Unable to push past
feet
1
Phone / C ii 2 d
1 " C GL '1E: y // "1`
Owner /Occupant Sigrid] ure
inspector Signature
For information call 651:470.2788
Entered S L at -J/
No Access
O No one in
O Access to service
lateral needed
O inspection
r efused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
nal Cleanout: ,
Pink Copy: SEH