866 Wescott Square - Inspection FormrCity off'Ea
Residential Sanitary Sewer Service
Compliance Inspection
Dat
ND Number
4" to 6 "Transition:
Name l ) �' ; Disk #
House Number �'' ;' ": Street Name _ ✓''�
Alternative MailingAddress
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O�' Sump pump properly piped
6'' No sump pump
Vio 00 : am
Time a f pre
Owner /Occupant Signature
G ;
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
•
—ai
'Transition ! ,: ?i `a
Length of Service:
Record Number
am
• —_ 'O Pm
1
Time
Phone _ ° _ -ACC
For information call 651.4
Obstruction
Unable to push past
feet
i
�:
Entered S..L..at `` r : � :- ' r
-/-
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
I -J
- Final Cleanout: . _'_•;... "� }
White Copy: Property Owner
Yellow Copy: City of Eagan
., ; ''if t'1 ` 7 ° py S OH
Number
Correctly
•
Disckiarged ;
Notes;
r 1• ;, .
C. / c` -,� f `-- : ?(1 ) r � 2 ` i c
j ' J
' � I --
: rf
Total
Incorrectly
Unknown
Sump pump
Foundation drains
Roof drains
1
i. ,•' f te
J --..- --
rCity off'Ea
Residential Sanitary Sewer Service
Compliance Inspection
Dat
ND Number
4" to 6 "Transition:
Name l ) �' ; Disk #
House Number �'' ;' ": Street Name _ ✓''�
Alternative MailingAddress
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O�' Sump pump properly piped
6'' No sump pump
Vio 00 : am
Time a f pre
Owner /Occupant Signature
G ;
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
•
—ai
'Transition ! ,: ?i `a
Length of Service:
Record Number
am
• —_ 'O Pm
1
Time
Phone _ ° _ -ACC
For information call 651.4
Obstruction
Unable to push past
feet
i
�:
Entered S..L..at `` r : � :- ' r
-/-
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
I -J
- Final Cleanout: . _'_•;... "� }
White Copy: Property Owner
Yellow Copy: City of Eagan
., ; ''if t'1 ` 7 ° py S OH