709 Stonewood Rd - Inspection FormSump pumps
Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
4 City of Et an Compliance Inspection
, Time : am
Date_` 1 / • �° O pm
Name trai''7 ( �
P1D Number
House Number
i✓5
Alternative Mailing Address
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Owner /Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Total
/
Disk #
1±)
Street Name ; ~a
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
Correctly
Number of stacks
Length of Service:
Number Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
# � I "a m
IA Time ' • { .1 O pm
Notes
,1nspector Signature
Obstruction
Unable to push past
feet,
Entered S_L.at . 57A
(/-
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH