1527 Wellington Way - Inspection FormSump pumps
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Foundation drains
Roof drains
4.11
4„. City ol Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date6g 07 / /(2
Name v/44/4, mow
PID Number
1-louse Number /577 Street Name
Alter native Mailing Address
,
Owner/Occupant Signature
For information call 651.470.2788
Com,liance
No foundation drain connection
V /No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
4" to 6"Transition:
White Copy: Pr op er ty Owner
Time 7-( g-
Service Lateral Inspection Findings
Disk #
0
(Ltd [LE
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 Entered S L at
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
11 <Z17
Pbone
: ; °
)
/ : "/ -7 / Inspector Signature
Obstruction
Unable to push past
feet.
r, Final Cle flout:
'?1O
Notes
- r m e
Yellow Copy: City of Eagan Pink Copy: SEH
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Fr-