935 Wild Rose Ct - Inspection FormCity 1)1 I a ii
Residential Sanitary Sewer Service
Compliance Inspection
Date OO / 0 / / 2
Name (.0.4 40e" "0,i7r` f`ee Disk #
PID Number
House Number 92r Street Name
Alternative Mailing Address
Time I1 • J o pm
Owner /Occupont Signature
0
g
J
U
For information call 651.470.2788
Compliance
O No foundation drain connection
I d d� „�No roof drain connection
CYSump pit not connected to
sanitary sewer
WSump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Non
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 j)/...
r ?7 T 24i✓
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ;lbt-'
rl cr' /IS/
4" to 6 "Transition:
1
Length
White Copy: Pi oper ty Owner
/^ /
of Service: 7/ ' 7 r" s' Final Cleanout: C t •
Yellow Copy: City of Eagan
Record Number
,Irispector Signature
Obstruction
Unable to push past
feet
• . 0 am
Time • pm
Phone 7-2( 2 75'"//
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1 - J PJ
Notes -, �,, /: 7 ' 7
f \ />/z1 4 /
e _S �7 S . f ,^ f r te Y!
r 1�'/1 f✓✓ c �V arc ti ,? `�
Pink Copy: SEH
Total
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
/
a�
_______._W..__ -__
__.. _.
..__ ..__
City 1)1 I a ii
Residential Sanitary Sewer Service
Compliance Inspection
Date OO / 0 / / 2
Name (.0.4 40e" "0,i7r` f`ee Disk #
PID Number
House Number 92r Street Name
Alternative Mailing Address
Time I1 • J o pm
Owner /Occupont Signature
0
g
J
U
For information call 651.470.2788
Compliance
O No foundation drain connection
I d d� „�No roof drain connection
CYSump pit not connected to
sanitary sewer
WSump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Non
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 j)/...
r ?7 T 24i✓
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ;lbt-'
rl cr' /IS/
4" to 6 "Transition:
1
Length
White Copy: Pi oper ty Owner
/^ /
of Service: 7/ ' 7 r" s' Final Cleanout: C t •
Yellow Copy: City of Eagan
Record Number
,Irispector Signature
Obstruction
Unable to push past
feet
• . 0 am
Time • pm
Phone 7-2( 2 75'"//
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1 - J PJ
Notes -, �,, /: 7 ' 7
f \ />/z1 4 /
e _S �7 S . f ,^ f r te Y!
r 1�'/1 f✓✓ c �V arc ti ,? `�
Pink Copy: SEH