847 Wescott Square - Inspection Form41111
City of Ca a
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
House Number
P!D Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
■Ci Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
4" to 6 "Transition:
White Copy: Property Owner
s ;�'Otam
Time '_ t 9 pm
Disk #
OwnerlOccupant Signature
Damaged Pipe
c- Transition °-
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Street Name
Phone
Time
J f
Obstruction
Linable to push past
feet
Entered S I. at
1 77 0 am
•
.'qk pm
inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:'� =-
✓i
Pink Copy: SEH
Total
Notes
..�
r
: } r
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
y
y-
' j
Foundation drains
i
Roof drains
41111
City of Ca a
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
House Number
P!D Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
■Ci Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
4" to 6 "Transition:
White Copy: Property Owner
s ;�'Otam
Time '_ t 9 pm
Disk #
OwnerlOccupant Signature
Damaged Pipe
c- Transition °-
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Street Name
Phone
Time
J f
Obstruction
Linable to push past
feet
Entered S I. at
1 77 0 am
•
.'qk pm
inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:'� =-
✓i
Pink Copy: SEH