919 Wild Rose Ct - Inspection Form41 City of tk an
Residential Sanitary Sewer Service
Compliance Inspection
Date .1 _ I 1 Time
Name s d ,? I ? / c: /
P1D Number
� �a
House Number )�--;r' Street Name
Alternative Mailing Addre s _
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1 (A■ I y i f
OwnerlOccupant Signature
No sump pump
Service Lateral Inspection Findings
4" to b" Transition:
yr7al `
White Copy: Propel ty Owner
y Disk #
Non - Compliance
0
O
O
0
0
am
0 pm
(/3
J / 1 yi
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number 1'
Time •
Phone 1
r.
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks 1 Entered S•L..at
Inspector Signature
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
(7
Length of Service: r . 3 5 1i final Cleanout: /
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
Foundation drains
/
F J
Roof drains
r
a.. f
41 City of tk an
Residential Sanitary Sewer Service
Compliance Inspection
Date .1 _ I 1 Time
Name s d ,? I ? / c: /
P1D Number
� �a
House Number )�--;r' Street Name
Alternative Mailing Addre s _
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1 (A■ I y i f
OwnerlOccupant Signature
No sump pump
Service Lateral Inspection Findings
4" to b" Transition:
yr7al `
White Copy: Propel ty Owner
y Disk #
Non - Compliance
0
O
O
0
0
am
0 pm
(/3
J / 1 yi
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number 1'
Time •
Phone 1
r.
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks 1 Entered S•L..at
Inspector Signature
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
(7
Length of Service: r . 3 5 1i final Cleanout: /
Pink Copy: SEH