4307 Sandstone Dr - Inspection FormX s
City of Lap
Residential San itary Sewer Service
Compliance Inspection
Dated
Name A2
PID Number
House Number
1IC_i
Service Lateral Ins
Roots
Alternative Mailing Address
Conipliance
IV No foundation drain connection
No roof drain connection
1'
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
l cn Findings
i
4" to 6" Transition: i /r
am
Time • ' 0 pm
(f ! Disk #,
Street Name
rt . ./
VI 1
r i r Owner /Occupant Signature
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ! r "47 �� ?
Record Number i
For .. information call 651.470.2788
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 7
Length of Service:
Yellow Copy: City of Eagan
Phone ! / �� u
_.
inspector Signature
Obstruction
Unable to push past
feet
" r / !
Entered S.l_ at
c
11
J
-Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SFH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
—
/ n i.3-(00
Total
Sump pumps
Foundation drains
0
Roof drains
; `-,J
G ®1/�! •^�
X s
City of Lap
Residential San itary Sewer Service
Compliance Inspection
Dated
Name A2
PID Number
House Number
1IC_i
Service Lateral Ins
Roots
Alternative Mailing Address
Conipliance
IV No foundation drain connection
No roof drain connection
1'
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Property Owner
l cn Findings
i
4" to 6" Transition: i /r
am
Time • ' 0 pm
(f ! Disk #,
Street Name
rt . ./
VI 1
r i r Owner /Occupant Signature
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ! r "47 �� ?
Record Number i
For .. information call 651.470.2788
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 7
Length of Service:
Yellow Copy: City of Eagan
Phone ! / �� u
_.
inspector Signature
Obstruction
Unable to push past
feet
" r / !
Entered S.l_ at
c
11
J
-Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SFH