4642 Stonecliffe Dr - Inspection FormCity 0! bra it
Residential Sanitary Sewer Service
Compliance Inspection
Date / )% )
!Name
T • t o am
Time
• Cipm
sk##
PID Number
House Number .2-24 Street Name
Alternative Mailing Ad . ess
OwnerlOceupaljt Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
t
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
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
Service Lateral Inspection Findings Number of stacks
Roots
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
H -:
•
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Length of Service:
Notes
Record Number • -
ri Time
Obstruction
Unable to push past
feet
Entered S.L at
Inspector Signature
Final Cleanout:
O am
•
• O pm
Phone fir%
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
1!
)\
Foundation drains
Roof drains
.....__
City 0! bra it
Residential Sanitary Sewer Service
Compliance Inspection
Date / )% )
!Name
T • t o am
Time
• Cipm
sk##
PID Number
House Number .2-24 Street Name
Alternative Mailing Ad . ess
OwnerlOceupaljt Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
t
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
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
Service Lateral Inspection Findings Number of stacks
Roots
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
H -:
•
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Length of Service:
Notes
Record Number • -
ri Time
Obstruction
Unable to push past
feet
Entered S.L at
Inspector Signature
Final Cleanout:
O am
•
• O pm
Phone fir%
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH