4744 Westminster Cir - Inspection Form
Residential Sanitary Sewer Service
City of p Compliance Inspection
Date -_1_j,__-` Time s~ * /o' pm Record Number
Name fJz~ Disk # •T"° Time PM
r
PID Number
House Number 24-1}--Street Name 12},,,~~-=':
Alternative Mailing Address Phone
t v 0 erlOccupaia Srgr`tYature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
x No foundation drain connection O Clear- water- connections to Unable to push past O No one in
No roof drain connection sanitary sewer _ feet. O Access to service
O Service lateral defects lateral needed
/ i Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
5 O Sump pump connected to sanitary
Sump pump properly piped refused
sewer
O No sump pump O Flexible sump pump piping
r
Service Lateral Inspection Findings Number of stacks f Entered S.L. at
Roots
Poor-Pipe joints T
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition r- ? '
4" to b"Transition: Length of Service: Final Cleanout:- f
_ Discharged Notes f
l - y 1
z` -2
Total Correctly Incorrectly. Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan ~ ~ Pink Copy: SEH