872 Wescott Square - Inspection FormCif of Cain
Residential Sanitary Sewer Service
Compliance Inspection
Date I 1 !C
Name ; r f -f f Disk #
PID Number
House Number p Street Name
Time,
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
am
pm
/ Ia
Yellow Copy: City of Eagan
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 '1
Length of Service: 1r/3
Record Number
=2(2:: O am
Time m • am
r
inspector S
For information call 651.470.2788
Entered S L at }
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: 23
Pink Copy: SEH
Number Discharged
Notes
, / F- j ,'
:_ ='1 t _ ✓` c -'i g � , " %ti /
�/� o�~~ a / --- ^ ..., 1 c..�
11 /�) l ,( C./ 7
L
Total
Correctly
(
7 .
�;
Incorrectly
j
i ; --1�:-
i ' 1
Unknown
Sump pumps
Foundation drains
\
..x
Roof drains
"
Cif of Cain
Residential Sanitary Sewer Service
Compliance Inspection
Date I 1 !C
Name ; r f -f f Disk #
PID Number
House Number p Street Name
Time,
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition:
White Copy: Property Owner
am
pm
/ Ia
Yellow Copy: City of Eagan
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 '1
Length of Service: 1r/3
Record Number
=2(2:: O am
Time m • am
r
inspector S
For information call 651.470.2788
Entered S L at }
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: 23
Pink Copy: SEH