4633 Stonecliffe Dr - Inspection FormCity pi E,a ate
Y i�
Residential Sanitary Sewer Service
Compliance Inspection
Date 11 )(1 q am
Time ' j pm
Name - . ,.f l "/ 4 Disk #
RID Number
House Number%?~. Street Name
Alternative MailipgAddress
f d
I /
5 ,t.
QwrrerlOccupanir,
/
Compliance
O No foundation drain connection
O ,No roof drain connection
4 �
Cj Sump pit not connected to
• sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Number of stacks Entered St at
Final Cleanout:
l 1
• O am
• O Pm
Phone..,
,
Inspector Signature J \!�
No Access _
O No one in
For information call 651.470.2788
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 Discharged
Unknown
[d otes
t '_
�
li, _ _.
, ' , t -r 1 t. ' ✓ ._T��
- - - �' 7. / / � '
Total
. Correctly
Incorrectly
Sump pumps
Foundation drains
Roof drains
City pi E,a ate
Y i�
Residential Sanitary Sewer Service
Compliance Inspection
Date 11 )(1 q am
Time ' j pm
Name - . ,.f l "/ 4 Disk #
RID Number
House Number%?~. Street Name
Alternative MailipgAddress
f d
I /
5 ,t.
QwrrerlOccupanir,
/
Compliance
O No foundation drain connection
O ,No roof drain connection
4 �
Cj Sump pit not connected to
• sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Number of stacks Entered St at
Final Cleanout:
l 1
• O am
• O Pm
Phone..,
,
Inspector Signature J \!�
No Access _
O No one in
For information call 651.470.2788
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH