3470 Wescott Woodlands - Inspection FormY
Residential Sanitary Sewer Service
Compliance Inspection
oe • am
Date 1 ; ! Time • ' pm
Name %ti , # J- ^ � Disk#
PID Number
House Number
Compliance
X 3 No foundation drain connection
Q� No roof drain connection
.
Sump pit not connected to
sanitary sewer
Sump pump properly piped
'O No sump pump
Service Lateral Inspection Findings
Transition
4" to 6" Transition:
White Copy: Property Owner
? Street Name
OwnerlOccupant Signature
� rl
. 1 i!7
Alternative Mailing Address
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
Yellow Copy: City of Eagan
Length of Service: 11 ('
$t I�
Record Number
;
Phone /"
For information call 651.470.2788
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S.L at
i
am • Time c ) • • O pm
Inspector Signature
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Final Cleanout '—
/ f
Pink Copy: SEH
Total
Not3es r
j 1
1
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
� ]
Foundation drains
'� l
Roof drains
_; '
Y
Residential Sanitary Sewer Service
Compliance Inspection
oe • am
Date 1 ; ! Time • ' pm
Name %ti , # J- ^ � Disk#
PID Number
House Number
Compliance
X 3 No foundation drain connection
Q� No roof drain connection
.
Sump pit not connected to
sanitary sewer
Sump pump properly piped
'O No sump pump
Service Lateral Inspection Findings
Transition
4" to 6" Transition:
White Copy: Property Owner
? Street Name
OwnerlOccupant Signature
� rl
. 1 i!7
Alternative Mailing Address
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
Yellow Copy: City of Eagan
Length of Service: 11 ('
$t I�
Record Number
;
Phone /"
For information call 651.470.2788
Obstruction No Access
Unable to push past 0 No one in
feet
Entered S.L at
i
am • Time c ) • • O pm
Inspector Signature
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Final Cleanout '—
/ f
Pink Copy: SEH