704 Stonewood Rd - Inspection FormCity or , a
Residential Sanitary Sewer Service
Compliance Inspection
Dat
, tk f
Name
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
o r
■
pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
141 No sump pump
Service Lateral Inspection Findings 7 Entered S.L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4!
'Transition
4" to 6 "Trans'stion: /
White Copy: Property Owner
•mil,✓ am
Time �� s . pm
Disk #
Street Name
Owner /Occupant 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
Number of stacks
7
Length of Service:
Record Number
f 1 J
am
dime .___1-7 O t pm
Phone LJ
2
Inspector Signature
Obstruction
Unable to push past
feet
} r7
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged.
Incorrectly
. .
Unknown
Total
Sump pumps
;' �
Foundation drains
' i
\.
Roof drains
)
City or , a
Residential Sanitary Sewer Service
Compliance Inspection
Dat
, tk f
Name
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
o r
■
pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
141 No sump pump
Service Lateral Inspection Findings 7 Entered S.L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4!
'Transition
4" to 6 "Trans'stion: /
White Copy: Property Owner
•mil,✓ am
Time �� s . pm
Disk #
Street Name
Owner /Occupant 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
Number of stacks
7
Length of Service:
Record Number
f 1 J
am
dime .___1-7 O t pm
Phone LJ
2
Inspector Signature
Obstruction
Unable to push past
feet
} r7
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH