4272 Sandstone Dr - Inspection FormSump pumps
7'
Foundation drains
(!)
Roof drains
/
Cil al' Fa a
y �
Residential Sanitary Sewer Service
Compliance Inspection
Date ?1 )I)()(?
Name j
1 f
PID Number
House Number
Alternative Mailing Address
O Sump pit not connected to .
sanitary sewer.
O Sump pump properly piped
No sump pump
•
O wneriO upant Signature
For information call 651.470.2788
pliance
No foundation drain connection
No roof dram connection
Service Lateral Inspection Findings Number of stacks Entered S.
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition 24 I
4" to 6 "Transition: 7 )
White Copy: Property Owner
Total
f � p tam
Time �
Street Name ,-
Correctly
pm
31
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:
Number Discharged
Incorrectly Unknown
r
Record Number
)
Notes
Phone
O
Time • — pm
Obstruction
Unable to push past
feet
t/
Inspector Signature
2 - 2 G_
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
em
Final Cleanout: /1/
Yellow Copy: City of Eagan Pink Copy: SEH