4860 Wellington Ct - Inspection FormNotes
Number
Correctly
Discharged
Incorrectly Unknown
% ' Tl) � , } —
l'7 ,-° +� r �--s
J l ) / .- �.
Total
Sump pumps
Foundation drains
"
Roof drains
7)
'f`
111 My of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date - 1 1 lt.
Name ✓`r :! -
PID Number
House Number /' Street Street Name
Alternative Mailing Address
/
• -f °'` o am
Time • 4 pm
Disk #
Phone r
Owner/Occupant Signature
5
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
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
Number of stacks / Entered S Lat . "17
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 " Transition:
Length of Service:
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
1
1
-57- --A-- Q am
•
Time. pm
Inspector Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
■
-
Final Cleanout:
Pink Copy: SEH