1531 Wellington Way - Inspection FormfEaian
j
i erit a Sanitary Sewer Service
Compliance Inspection
Date /or 1 Jo
Name \-
/ s'3
Owner /Occupant Signature
mpliance
No foundation drain connection
• No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump Pump properly piped
C
No sump pump
Service Lateral Inspection Findings
Roots . 1
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
sfigr-
4" to 6" Transition: (L -.
White Copy: Property Owner
X am
Time a 9U o pm
Disk #
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
Street Name
Number of stacks
{
Length of Service:
Yellow Copy: City of Eagan
Record Number fOJ
Obstruction
Unable to push past
feet.
Time
PID Number
House Number
Altern t` il�ailing.�ddress Phone
Inspector Signature
For Information call 651.470.2788
Entered S L at
r
O am
O pm
No Access
O No one in
o Access to service lateral
needed
o Inspection refused
_ Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651 -222 -1551
Total
Notes t
i e, N��. -r e - rC : i ;'1 . _ i ---
t
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
Cb
Roof Drains
f
fEaian
j
i erit a Sanitary Sewer Service
Compliance Inspection
Date /or 1 Jo
Name \-
/ s'3
Owner /Occupant Signature
mpliance
No foundation drain connection
• No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump Pump properly piped
C
No sump pump
Service Lateral Inspection Findings
Roots . 1
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
sfigr-
4" to 6" Transition: (L -.
White Copy: Property Owner
X am
Time a 9U o pm
Disk #
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
Street Name
Number of stacks
{
Length of Service:
Yellow Copy: City of Eagan
Record Number fOJ
Obstruction
Unable to push past
feet.
Time
PID Number
House Number
Altern t` il�ailing.�ddress Phone
Inspector Signature
For Information call 651.470.2788
Entered S L at
r
O am
O pm
No Access
O No one in
o Access to service lateral
needed
o Inspection refused
_ Final Cleanout:
Pink Copy: Benjamin Franklin Plumbing
651 -222 -1551