712 Stonewood Rd - Inspection FormCity of ialaa
Residential Sanitary Sewer Service
Compliance Inspection
Dato- ▪ -!
Name / � /)
PID Numbe
House Number
Alternative Mailing Address
7, '
Disk #
Ownerl0cc pant Signature
For information call 651:470.2788
Compliance
No foundation drain connection
No roof drain connection
t Sump pit not connected to
F sanitary sewer
O Sump pump properly piped
O No sump pump
0
O
O
O
Ser vice Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition /
4" to 6 "Transition:
White Copy: Property Owner
J• LL✓ am
Time
Pm
Street Name
Non - Compliance
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks Entered S..L..at
1
Length of Service:
Record Number
f'7 �
Phone ! T !} I�
1 r)
•� �� am
im" 5 P
Time � �- m
Inspector Signature
Obstruction
Unable to push past
feet
Notes
No Access
O No one in
'a -Final
Cleanout: °¢
O Access to service
lateral needed
O Inspection
re €used
ev
r<
/
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
otal
Sump pumps
,` .
= 'i
5 7
/71-----,7,--
..�
Foundation drains
r ',
/
/
Roof drains
f �
City of ialaa
Residential Sanitary Sewer Service
Compliance Inspection
Dato- ▪ -!
Name / � /)
PID Numbe
House Number
Alternative Mailing Address
7, '
Disk #
Ownerl0cc pant Signature
For information call 651:470.2788
Compliance
No foundation drain connection
No roof drain connection
t Sump pit not connected to
F sanitary sewer
O Sump pump properly piped
O No sump pump
0
O
O
O
Ser vice Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition /
4" to 6 "Transition:
White Copy: Property Owner
J• LL✓ am
Time
Pm
Street Name
Non - Compliance
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks Entered S..L..at
1
Length of Service:
Record Number
f'7 �
Phone ! T !} I�
1 r)
•� �� am
im" 5 P
Time � �- m
Inspector Signature
Obstruction
Unable to push past
feet
Notes
No Access
O No one in
'a -Final
Cleanout: °¢
O Access to service
lateral needed
O Inspection
re €used
ev
r<
/
Yellow Copy: City of Eagan Pink Copy: SEH