825 Wescott Square - Inspection FormCity of to an
Residential Sanitary Sewer Service
Compliance inspection
Date 0,, 1 4/ / / Ar;
Name i _ 6J/ / D isk #
PID Number
House Number ; ° - Street Name fA / r - .r 7,
Alternative Mailing Address
%, .
OwnerlOccupent Signature
For information call 651:47 0.2788
Compliance
O No foundation drain connection
Cr roof drain connection
O Sump pit not connected to
sanitary sewer
Q` Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time os� pin
Non- Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number
Entered S.L.at
Length of Service: 7
rs S
• ., am
Time • . O pm
/
'6nspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
/ f(
Final Cleafrout: /04
1rt (I)
•
0 Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes
v6)
_ 140 e,ep &5 •
Total
Correctly
Inconectly
Unknown
Sump pumps
Foundation drains
t
Roof drains
�.{'J
City of to an
Residential Sanitary Sewer Service
Compliance inspection
Date 0,, 1 4/ / / Ar;
Name i _ 6J/ / D isk #
PID Number
House Number ; ° - Street Name fA / r - .r 7,
Alternative Mailing Address
%, .
OwnerlOccupent Signature
For information call 651:47 0.2788
Compliance
O No foundation drain connection
Cr roof drain connection
O Sump pit not connected to
sanitary sewer
Q` Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time os� pin
Non- Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number
Entered S.L.at
Length of Service: 7
rs S
• ., am
Time • . O pm
/
'6nspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
/ f(
Final Cleafrout: /04
1rt (I)
•
0 Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH