4260 Moonstone Dr - Inspection Form4411 •
Cay 'ago
Residential Sanitary Sewer Service
Compliance Inspection
Datell Time
Name )
PID Number
Alternative Mailing Addr•ess/{ '
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Proper ty Owner'
Disk ##
OwnerlOccupant Signature
pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
l�!
House Number (?Street Name f \ J r �
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
7
Yellow Copy: City of Eagan
Record Number
Phone ) .9
•
L /'' ;Q am
• Q
• Inspector S
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral inspection Findings Number of stacks ntered S.. °-; --')
Roots ,=7 /
Poor Pipe Joints
Mineral Deposits
Length of Service: c-7 J_ Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/&?
Pink Copy: SEH
Notes
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
r i
Roof drains
{ ° %
4411 •
Cay 'ago
Residential Sanitary Sewer Service
Compliance Inspection
Datell Time
Name )
PID Number
Alternative Mailing Addr•ess/{ '
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Proper ty Owner'
Disk ##
OwnerlOccupant Signature
pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
l�!
House Number (?Street Name f \ J r �
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
7
Yellow Copy: City of Eagan
Record Number
Phone ) .9
•
L /'' ;Q am
• Q
• Inspector S
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral inspection Findings Number of stacks ntered S.. °-; --')
Roots ,=7 /
Poor Pipe Joints
Mineral Deposits
Length of Service: c-7 J_ Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/&?
Pink Copy: SEH