1477 Wellington Way - Inspection Form
*"'City Residential Sanitary Sewer Service
I It Compliance Inspection
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Date 1 ? l~i ; .i Time a Pm, Record Number i
s fi a0 am
Name_ i=Disk # 3 ! ~I Time f t pm
PID Number
House Number L-4- =Street Name /~.r~!~~ _ / ~✓r'
Phone
Alternative Mailing Address
Owner/Occupa t Signature Inspector Signature
. information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O 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
r O Service lateral defects lateral needed
A 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 s Entered S.L at
`
Roots
t
Poor Pipejoints _ -
Mineral Deposits
Sag/Pipe Deflection _
Damaged Pipe
Transition - -
r
4" to b"Transition: Length of Service: ~a- Final Cleanout:
Notes
r~ : ,v}
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
r
Roof drains
White Copy: Propeity Owner Yellow Copy: City of Eagan Pink Copy: SEH