800 Wescott Square - Inspection Forms{
City of bpi
Residential Sanitary Sewer Service
Compliance Inspection
Date a / O 1 f 2
Name Disk #
PID Number
� n
House Number Street Name 6JC? : ✓!� %c' -; "`
Alternative Mailing Address
O
O
kO
Timer? 7 • • = p p
OwnerlOccupant Signature
For information call 651.4713.2788
rrpliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
0
-LE LJ]
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
Record Number
Phone
�:. ° am
Time •
• o pm
7 ' 1 1 -7,--
j s �: _) 7
Inspector Signature
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks._ Entered S L at 1 7'
Roots 4t) ./3
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t/(y rte:
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition t(/ ,f }( '7'''1 C_ // 1 7`w -pax a a ✓i �` /'Y
A1 - -/
r
r
4" to 6 "Transition:
White Copy: Pr oper ty Owner
Length of Service: HZ
r-
Notes
37
f
F" al ° Clean ut:
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number,
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
--
Foundation drains
__.
----
Roof drains
7 .- , ----
__-w- —
{
City of bpi
Residential Sanitary Sewer Service
Compliance Inspection
Date a / O 1 f 2
Name Disk #
PID Number
� n
House Number Street Name 6JC? : ✓!� %c' -; "`
Alternative Mailing Address
O
O
kO
Timer? 7 • • = p p
OwnerlOccupant Signature
For information call 651.4713.2788
rrpliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
0
-LE LJ]
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
Record Number
Phone
�:. ° am
Time •
• o pm
7 ' 1 1 -7,--
j s �: _) 7
Inspector Signature
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks._ Entered S L at 1 7'
Roots 4t) ./3
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t/(y rte:
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition t(/ ,f }( '7'''1 C_ // 1 7`w -pax a a ✓i �` /'Y
A1 - -/
r
r
4" to 6 "Transition:
White Copy: Pr oper ty Owner
Length of Service: HZ
r-
Notes
37
f
F" al ° Clean ut:
Yellow Copy: City of Eagan Pink Copy: SEH