4849 Wellington Ct - Inspection FormCity at tarp
Residential Sanitary Sewer Service
Compliance Inspection
r" /10
Date / i Time
Name
PID Number
House Number
Compliance
f Q No foundation drain connection
�`i' No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Pr operty Owner
JC'7) /./ Disk#
1
Street Name
Owner /Occupant Signature
• 9, am
• .0 Pm
IClumber of stacks
i,
Length of Service:
Record Number
� — { —f /1
Alternative Mailing Address
1 /
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
Yellow Copy: City of Eagan
Time 1'
Phone
Obstruction
Unable to push past
feet.
Inspector Signature
• I d am
• 0 p
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings l Entered S L at
Roots •� • —72,- '}
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
.2; ' t'' f, / •
• , Final Cleanout:.. =b °?
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
_
r
.r)5'
Foundation drains
i
Roof drains
City at tarp
Residential Sanitary Sewer Service
Compliance Inspection
r" /10
Date / i Time
Name
PID Number
House Number
Compliance
f Q No foundation drain connection
�`i' No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Pr operty Owner
JC'7) /./ Disk#
1
Street Name
Owner /Occupant Signature
• 9, am
• .0 Pm
IClumber of stacks
i,
Length of Service:
Record Number
� — { —f /1
Alternative Mailing Address
1 /
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
Yellow Copy: City of Eagan
Time 1'
Phone
Obstruction
Unable to push past
feet.
Inspector Signature
• I d am
• 0 p
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings l Entered S L at
Roots •� • —72,- '}
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
.2; ' t'' f, / •
• , Final Cleanout:.. =b °?
Pink Copy: SEH