705 Stonewood Rd - Inspection FormCity of fa
Residential Sanitary Sewer Service
Compliance Inspection
INA
Date
PID Number
Name 2 / i i 'A y40 I v<Disk #
House Number
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
OF Sum it not connected to
PP
sanitary sewer
I I
a Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
• pam
Time 6 • OU. 0 pm
0
Street Name
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
-Ltd -[Ll
Length of Service:
Record Number
Phonel f f
• diam
Time
• O pm
Obstruction
Unable to push past
feet
1 •.
(s"
is ✓`.J
• j
r Inspec - tor Signature
For information call 6.51A70.2788
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
Number of stacks , i Entered S.L at PTA
e
7 � 257
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
(1)
Final Cleanout:�:
Notes
) €Y r
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
.•....: ":'.
Unknown
Total
Sump pumps
Foundation drains
Roof drains
-
City of fa
Residential Sanitary Sewer Service
Compliance Inspection
INA
Date
PID Number
Name 2 / i i 'A y40 I v<Disk #
House Number
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
OF Sum it not connected to
PP
sanitary sewer
I I
a Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
• pam
Time 6 • OU. 0 pm
0
Street Name
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
-Ltd -[Ll
Length of Service:
Record Number
Phonel f f
• diam
Time
• O pm
Obstruction
Unable to push past
feet
1 •.
(s"
is ✓`.J
• j
r Inspec - tor Signature
For information call 6.51A70.2788
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
Number of stacks , i Entered S.L at PTA
e
7 � 257
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
(1)
Final Cleanout:�:
Notes
) €Y r
Yellow Copy: City of Eagan Pink Copy: SEH