4224 Sandstone Dr - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date 1 _ ) 1
Name
PlD Number
White Copy: Property Owner
7,
/ /.s t_: {j am
Time ! I 0 pm
Disk #
i S treet
House Number � �.._ Name .
Owner /Occupant Signature
Alternative Mailing Address __- --
Record Number
Yellow Copy: City of Eagan
/
Time r 1 s
Inspector Signature
am
O pm
• i
Phone /' — /
For information call 651.470.27
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
Obstruction
Unable to push past
feet
O No one in
O Access to service
lateral needed
Compliance
No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
Poor Pipe joints _A
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition 4-11---