4344 Sandstone Dr - Inspection FormCity or Eaao
Residential Sanitary Sewer Service
Compliance inspection
EMMA
Date 07 f f 1 /
Name .ee f re-71/ •� / r� Disk#
PID Number
Alternative Mailing Address
Compliance
O No foundation drain connection
5 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Sump pumps
Roof drains
J
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Foundation drains
White Copy: Propel ty Owner
Total
Time r/ •-U ' pm
House Number /� Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
— ED [1]._°]
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 ( Entered S . at
4" to 6 "Transition: f / 1 6 , 6 ,4,, of Service: � - -�~• Final Cleanout:
Number Discharged
Correctly
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
7s' o am
Time e ` a u pm
Pho (' E :
1 f
V /inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Notes . 4/=4,41---C.,-,--"/
g
3 ,Jam , r ,�
Pink Copy: SEH