4375 Sandstone Dr - Inspection FormNotes
Number
Correctly
Discharged
Incor'r'ectly Unknown
Total
Sump pumps
,%
Foundation drains
Roof drains
City of Eaa
Residential Sanitary Sewer Service
Compliance Inspection
Date .I r2 l J(,
J /
Name w % C/ 1 Disk #
PID Number
House Number
Alternative Mailing Address _
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
7
) Street Name
-
am
Time s pm
Owner /Qccupant Signature
Non - Compliance
Length of Service:
Yellow Copy: City of Eagan
Record Number
am
Time /(
• pm
Phone ( 3 d " '
Obstruction
Number of stacks % Entered S L at7
f)
inspector Signature
For information nail 651.470.2788
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
..�" Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
'Transition
Pink Copy: SETT