1523 Wellington Way - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
of E
Uik
Date 0 1 1 ' U
Name IAA
:1;
PID Number
I -louse Number
Alternate MaJJi
ess I
Compliance
No foundation drain connection
I X No roof drain connection
O f' Sump pit not connected to
f
sanitary sewer
O Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots 17 O
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 4bv
White Copy: Property Owner
Olner/Occiutiant Sign ture
77
4" to 6" Transition: ,//
4"
am
Time j 0 75 — 0 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
4. it A,
Yellow Copy: City of Eagan
Record Number
Obstruction
Length of Service: ,
Time
Street Name (t)' (�
Phone
Linable to push past
feet
Inspector Signature
O am
o pm
For Information call 651,470.2788
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
P t
Number of stacks t Entered S L at c C 1 0
Final Cleanout: ] 8
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump Pumps
--
Foundation Drains
0
-
Roof Drains
x,01
t
1.11
Residential Sanitary Sewer Service
Compliance Inspection
of E
Uik
Date 0 1 1 ' U
Name IAA
:1;
PID Number
I -louse Number
Alternate MaJJi
ess I
Compliance
No foundation drain connection
I X No roof drain connection
O f' Sump pit not connected to
f
sanitary sewer
O Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots 17 O
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 4bv
White Copy: Property Owner
Olner/Occiutiant Sign ture
77
4" to 6" Transition: ,//
4"
am
Time j 0 75 — 0 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
4. it A,
Yellow Copy: City of Eagan
Record Number
Obstruction
Length of Service: ,
Time
Street Name (t)' (�
Phone
Linable to push past
feet
Inspector Signature
O am
o pm
For Information call 651,470.2788
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
P t
Number of stacks t Entered S L at c C 1 0
Final Cleanout: ] 8
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551