3493 Wolfberry Ct - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
r' f
Date1 �i 1 /
Name "7f` /� 1 f V Disk #
PID Number
House Number Street Name
Alternative Mailing Address
s � _ t� ri rl0ccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
0 Sump pit not connected to
- ` sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
moo` o am
Time • pm
1
For information call 651.470.2788
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 at
Length of Service:
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection_
Damaged Pipe
Transition
Yellow Copy: City of Eagan
Record Number
Ph
• im p am
Time • ((pm
one 6L,,2"
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout.
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes, ,ry, ,� f (- 1
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' 1 // / ,2
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/ i , '� { " ri
Total
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
r' f
Date1 �i 1 /
Name "7f` /� 1 f V Disk #
PID Number
House Number Street Name
Alternative Mailing Address
s � _ t� ri rl0ccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
0 Sump pit not connected to
- ` sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
moo` o am
Time • pm
1
For information call 651.470.2788
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 at
Length of Service:
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection_
Damaged Pipe
Transition
Yellow Copy: City of Eagan
Record Number
Ph
• im p am
Time • ((pm
one 6L,,2"
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout.
Pink Copy: SEH