3721 Stonewood Ct - Inspection FormCity pi 1a of
Residential Sanitary Sewer Service
Compliance inspection
Date" 1 / ,1 1 /
Name
PO Number
House Number
Alternative..Mailing Address
Compliance
O No foundation drain connection
•
4" to 6" Transition:
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Time
Disk#
OwnerlOccupant Signature
Street Name _
Non
) � am
pm
O
O
O
O
0
Service Lateral Inspection Findings
- Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Roots
Poor Pipe joints
Mineral Deposits
3 / . S•�- l �f y ,
,. Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
— — • . 4 ,r/
-Time Ji -
)`
Phone 1 I T'
Obstruction
Unable to push past
feet.
Number of stacks ', Entered S L at - i
, .1
/
r
am
pm
-
Inspector Signature
For information, call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
I l.p.✓l ,ff
2 /`- - )
I ' �
7
Cleanout:
V ote
Pink Copy: SEH
Number
Discharged
l
Total
Correctly
Incorrectly
Unknown
Sump pumps
.�
! ` °
/ r
Foundation drains
, r
Roof drains
"
City pi 1a of
Residential Sanitary Sewer Service
Compliance inspection
Date" 1 / ,1 1 /
Name
PO Number
House Number
Alternative..Mailing Address
Compliance
O No foundation drain connection
•
4" to 6" Transition:
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Time
Disk#
OwnerlOccupant Signature
Street Name _
Non
) � am
pm
O
O
O
O
0
Service Lateral Inspection Findings
- Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Roots
Poor Pipe joints
Mineral Deposits
3 / . S•�- l �f y ,
,. Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
— — • . 4 ,r/
-Time Ji -
)`
Phone 1 I T'
Obstruction
Unable to push past
feet.
Number of stacks ', Entered S L at - i
, .1
/
r
am
pm
-
Inspector Signature
For information, call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
I l.p.✓l ,ff
2 /`- - )
I ' �
7
Cleanout:
V ote
Pink Copy: SEH