713 Stonewood Rd - Inspection FormCity of Ea .
Residential Sanitary Sewer Service
Compliance Inspection
• c
Date / Y • I l Time i
Name . }r\ i \ t 4 ' i ' `. Disk #
PID Number
House Number 7
Alternative Mailing Address
glli
Owner /Occupant Signature
Compliance
y !
d' No foundation drain connection
O' No roof drain connection
9 Sump pit not connected to
sanitary sewer
p, Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Proper ty Owner
Street Name
▪ ' / 1/1-
r?,
o am
Pm
\•40o 1 c A D
1
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
•
•
� '5 1 .— ` "$ -K-- '-"f 5 3
Phone -
Inspector Signature
For information call 651:47
Obstruction
Unable to push past
feet
EnteredSLat - RIL
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cieanout: .j
o am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
`t {:; GccO
Pink Copy: SEH-
Notes
`3 _ ( ° "' i �.) a, \1
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
! -7
Roof drains
F
t..
City of Ea .
Residential Sanitary Sewer Service
Compliance Inspection
• c
Date / Y • I l Time i
Name . }r\ i \ t 4 ' i ' `. Disk #
PID Number
House Number 7
Alternative Mailing Address
glli
Owner /Occupant Signature
Compliance
y !
d' No foundation drain connection
O' No roof drain connection
9 Sump pit not connected to
sanitary sewer
p, Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Proper ty Owner
Street Name
▪ ' / 1/1-
r?,
o am
Pm
\•40o 1 c A D
1
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
•
•
� '5 1 .— ` "$ -K-- '-"f 5 3
Phone -
Inspector Signature
For information call 651:47
Obstruction
Unable to push past
feet
EnteredSLat - RIL
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cieanout: .j
o am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
`t {:; GccO
Pink Copy: SEH-