1461 Wellington Way - Inspection Form
Residential Sanitary Sewer Service
I r1r Compliance Inspection
fly •C am
d Number T
Date/ Time Y* pm Recor
1
Name Disk # 1 y Time O 'P
PID Number
House Number Street Name
Alternative Mailing Address Phone_
Owner/Occupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
p 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
Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
# Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks j Entered S L at -°',~w,.
Roots
Poor Pipejoints - -
Mineral Deposits -
Sag/Pipe Deflection T_ -
Damaged Pipe - -
Tr•ansition ?V C'
4" to 6"Transition: Length of Service: inal Cleanout: %
Notes
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps F\
Foundation drains
Roof drains I
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH