681 Stonewood Rd - Inspection Form4. 11 _ 11F City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 )"
NameV .. 1
PID Number
o pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time
7 / Disk
'� am
pm
Owner /3 ccupant Signature
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
Length of Service: ) ()
Record Number
Notes
• am
Time /t . o p
House Number �c /. Street Name _ �' ^, , . - ;A / T
Alter na €ive Mailing Address Phone T i 6 ;) A
1 < - - ;, ) J
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S.L.at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 0
final Cleanout: r
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
r )
o • ti,t �I
i.v
t7
Foundation drains
r r`
1
Roof drains
71
4. 11 _ 11F City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 )"
NameV .. 1
PID Number
o pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Time
7 / Disk
'� am
pm
Owner /3 ccupant Signature
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
Length of Service: ) ()
Record Number
Notes
• am
Time /t . o p
House Number �c /. Street Name _ �' ^, , . - ;A / T
Alter na €ive Mailing Address Phone T i 6 ;) A
1 < - - ;, ) J
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S.L.at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 0
final Cleanout: r
Yellow Copy: City of Eagan Pink Copy: SEH