4229 Sandstone Dr - Inspection FormCity of a�
Residential "Sanitary Sewer Service
Compliance Inspection
J
Date)/ )(2
i
Name L .� 1� 'L
PID Number
; / Street Name
House Number ✓ �.
Alternative Mailing Addr'ess
Owner /Occupant Si
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
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b "Transition:
White Copy: Property Owner
Time
i7
atur
am
pm
1
Record Number --
r; y - //
Length of Service: r
3
� • o ff"
ime • dpm
j
Phone _ .._) t '�
Inspector Signature
For information call 65
Obstruction
Unable to push past
feet.
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 / Entered 5. at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes ;�� f
r
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
j '
Foundation drains
--;-
/
Roof drains
City of a�
Residential "Sanitary Sewer Service
Compliance Inspection
J
Date)/ )(2
i
Name L .� 1� 'L
PID Number
; / Street Name
House Number ✓ �.
Alternative Mailing Addr'ess
Owner /Occupant Si
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
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b "Transition:
White Copy: Property Owner
Time
i7
atur
am
pm
1
Record Number --
r; y - //
Length of Service: r
3
� • o ff"
ime • dpm
j
Phone _ .._) t '�
Inspector Signature
For information call 65
Obstruction
Unable to push past
feet.
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 / Entered 5. at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes ;�� f
r
Yellow Copy: City of Eagan Pink Copy: SEH