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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