902 Wild Rose Ct - Inspection FormNotes
Number
Correctly
Discharged
Incorrectly Unknown
i ) - r
f � _ �' "�` '°
/,
l ,3 u T" ._- - 1 .� J i Jr
e./7i! 1/ )0)A ! I :0(7r) `v e) /(
� ` Pa � 05- "') '
Total
Sump pumps
Foundation drains
Roof drains
!
'
Y ol Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date 1-1-/ / 1 ) c
• �
a � Disk #
Compliance
O No foundation drain connection
Y No roof drain connection
Surnp pit not connected to
sanitary sanitary sewer
i k Sump pump properly piped
O No sump pump
'Sag /Pipe Deflection I �.
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time
Name
PID Number
Alternative Mailing Address Phone L)--/ Ill
House Number & Street Name
Owner /Occ'upa t rgrrtlfure
4
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 . 1�
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits f f} L • "3 !�'
o, am
pm
I
Length of Service:
Yellow Copy: City of Eagan
Record Number
D -.„ S2 o am
Time _ L , pm
Entered S L.at 4/f
lnspector'Signature
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
_ L/ y r - C 7 -
to I
•
i I
h p f .
la t�? -� Final Cleanout:
Pink Copy: SEH
•