4254 Sandstone Dr - Inspection FormSump pumps
Foundation drains
Roof drains
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City of to p
Residential Sanitary. Sewer . Service .
Compliance I nspeeton
Date 1 9 ?i / ('1 ''
Name 765",( / l
PID Number
House Number Street Name
Alternative Mailing Address
owner /Occupant Signature
For information call 651.470.27
Compliance
O No foundation drain connection
X 07 No roof drain connection
{-- Sump pit not connected to
7
sanitary sewer
p/ Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Time /
Pm
Disk #
Sag /Pipe Deflection
Damaged Pipe
Transition ; / "",/ (17 A/C__ C
3
A - 1 ( (( / 66 -
4" to 6 "Transition:
White Copy: Pi oper ty Owner
ik-"
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:
Total Correctly Incorrectly Unknown
LEi
Number Discharged
Yellow Copy: City of Eagan
Record Number ` - f
Phony (6/s.
/ r • - am
Time j • 0 pm
4,f
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L at
Final Cleanout:
Notes -- iJ
(,)t .7_f5 'r5 (..: r)l / ; ` J r 7 6 ,--
of--. ./ 1 -''� ,�, ,-, r ) C' f �' / j 4.0
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH