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4242 Moonstone Dr - Inspection Form
Sump pumps i Foundation drains 4" r• i " iA Roof drains 0 City of Cap Residential Sanitary : Sewer Service Compliance Inspection I sr Date/ 1� 1 /( Name ., i ) �.l'r C� isk # PID Number House Number Alternative MailingAddress Compliance O No foundation drain connection O No roof drain connection Sump pit not connected to sanitary sewer Sump pump properly piped O No sump pump Service Lateral Inspection Findings Number of stacks Roots Poor Pipe Joints Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition 4" to 6" Transition: °e � 1 1c& White Copy: Proper ty Owner Time Street Name OwnerIOpant Signature Total 4 j O > am 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 I pm Number Discharged Correctly Incorrectly Unknown Record Number Time Time J 5 2 Phone t - I . 7_ . / Inspector Signature For information call 651:470:2788 Obstruction Unable to push past feet E=ntered St at c� ar No Access O No one in Length o Service: °° Final Cleanout: 0 pm O Access to service . lateral needed O Inspection refused f .f l J � I � / =- � ^• �� i � { 1` -mil �`, (. `" I L .'�•��> ..�,,/ Notes, Yellow Copy: City of Eagan Pink Copy: SEH Residential Sewer Service Compliance Inspection City or Ea Date 1 I } C) Name MA, i c C t j, PID Number House Number Compliance o No foundation drain connection o No roof drain connection o Sump pit not connected to sanitary sewer o Sump Pump properly piped o No sump pump Service Lateral Inspection Findings Roots Poor Pipe Joints 3 1 c Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition ling Address Owner /Occupant Signature 4" to 6" Transition: White Copy: Property Owner Time am 0 0 pm Disk # 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 Street Name Length of Service: Yellow Copy: City of Eagan Record Number 0/ Obstruction 06r- S — 0 r Time Phon Unable to push past feet 6 " ;" lnspector Signature Number of stacks m Entered S L. at Cps f i t (Ix C 1 s Final Cleanout: o am o pm For Information call 651.470.2788 No Access o No one in O Access to service lateral needed o Inspection refused Pink Copy: Benjamin Franklin Plumbing 651- 222 -1551 Total Notes g �� L£7(}1.% 0,0 ia- S .. 1 S C7 'fie. A- „ �L0YCS --s" C 1 - e, , c; ,yt c_ T cAS, ,:, Number Discharged Correctly Incorrectly Unknown Sump Pumps © Foundation Drains --- Roof Drains', --- Residential Sewer Service Compliance Inspection City or Ea Date 1 I } C) Name MA, i c C t j, PID Number House Number Compliance o No foundation drain connection o No roof drain connection o Sump pit not connected to sanitary sewer o Sump Pump properly piped o No sump pump Service Lateral Inspection Findings Roots Poor Pipe Joints 3 1 c Mineral Deposits Sag /Pipe Deflection Damaged Pipe Transition ling Address Owner /Occupant Signature 4" to 6" Transition: White Copy: Property Owner Time am 0 0 pm Disk # 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 Street Name Length of Service: Yellow Copy: City of Eagan Record Number 0/ Obstruction 06r- S — 0 r Time Phon Unable to push past feet 6 " ;" lnspector Signature Number of stacks m Entered S L. at Cps f i t (Ix C 1 s Final Cleanout: o am o pm For Information call 651.470.2788 No Access o No one in O Access to service lateral needed o Inspection refused Pink Copy: Benjamin Franklin Plumbing 651- 222 -1551