4266 Sandstone Dr - Inspection FormCAI of Li p
Residential Sanitary Sewer Service
Compliance Inspection
Date C2 / I Zc I /
Name TAW / 7 1 6:- kJ 77 `IIr Disk#
PID Number
Sri
House Number `fc Street Name
Alternative Mailing Address
f/. o am
Time / •- ; c� p
r ;
OwnerlOccupant Signature
For information call 65
Corni
SJ No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
i No sump pump
Service Lateral Inspection Findings
Roots 10 1 I,! 5 )51,
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection .
Damaged Pipe
i //
Transition � mi /4/ r v c ( 5
4" to 6" Transition:
/
White Copy: Proper ty Owner
7
t
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:
Cdd
Yellow Copy: City of Eagan
Record Number
E
Entered S. at
• Time •
lnspfc or Signature
o am
c° pm
Phonq Cz3 J �.i/ .. e;_/_5-77"
•
, !
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /fr
Copy: SE
Total
Notes �,..
1 ,./ 6 O !
Narr�her
Discharged arged
-
Correctly
incorrectly
Unknown
Sump pumps
/,'l'
'
-.�..�
Foundation drains
--0
—
Roof drains
_
.�___r.__
_..___._._W.
ry
CAI of Li p
Residential Sanitary Sewer Service
Compliance Inspection
Date C2 / I Zc I /
Name TAW / 7 1 6:- kJ 77 `IIr Disk#
PID Number
Sri
House Number `fc Street Name
Alternative Mailing Address
f/. o am
Time / •- ; c� p
r ;
OwnerlOccupant Signature
For information call 65
Corni
SJ No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
i No sump pump
Service Lateral Inspection Findings
Roots 10 1 I,! 5 )51,
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection .
Damaged Pipe
i //
Transition � mi /4/ r v c ( 5
4" to 6" Transition:
/
White Copy: Proper ty Owner
7
t
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:
Cdd
Yellow Copy: City of Eagan
Record Number
E
Entered S. at
• Time •
lnspfc or Signature
o am
c° pm
Phonq Cz3 J �.i/ .. e;_/_5-77"
•
, !
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /fr
Copy: SE