4674 Stonecliffe Dr - Inspection FormCity of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
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Date /
PID Number J
House Number ¢--rz' 1 r` treet Name --rr' / I.'" �l , / J J
Alternative Mailing Address Phone (..'% ._. ) .) - .a_.3, r ✓`
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6 " Transition:
White Copy: Property Owner
7_,)//)
o am
Time • y pm
Disk #
Owner /Occupant Signature
LU-
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Entered S.L. at
r inspector Signature } / //(?.
• Oam
• O pm
Final Cleanout:
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
Pink Copy: SEH
Number
Correctly
Discharged
Notes
6...,- t 7' , . (-"-,7 ` C'
-.f '� ..�'?i•` V c `'
' / s' ': "-' 7 "fi` ..%C-'r
/I
Total
Incorrectly
Unknown
Sump pumps
J
,v
Foundation drains
Roof drains
City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
}}
Date /
PID Number J
House Number ¢--rz' 1 r` treet Name --rr' / I.'" �l , / J J
Alternative Mailing Address Phone (..'% ._. ) .) - .a_.3, r ✓`
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6 " Transition:
White Copy: Property Owner
7_,)//)
o am
Time • y pm
Disk #
Owner /Occupant Signature
LU-
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Entered S.L. at
r inspector Signature } / //(?.
• Oam
• O pm
Final Cleanout:
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
Pink Copy: SEH