910 Wild Rose Ct - Inspection FormResidential Sanitary Sewer Service
Compliance inspection
PID Number
House Number !' )
Alternative Mailing Address
f i N
Owner /Occupant Signature
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Time
• }o am
Pm
i
--
Phone
Street Name
For information call 651 470.2788
Compliance
No foundation drain connection 0
No roof drain connection
Sump pit not connected to
/ t sanitary sewer
O Sump pump properly piped
O No sump pump
Ser vice Lateral inspection Findings
SaglPipe Deflection
Damaged Pipe -
Transition
4" to 6" Transition:
Non - Compliance
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 statics _ )
Roots
Poor Pipe�oints
Mineral Deposits
Obstruction
Unable to push past
feet
Entered S. at.
�y-
�� 4-4- Final Cleanout:
Length of Service: ,
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Number Discharged
Record Number
...3"-re: 0,am
Time • - pm
Yellow Copy: City of Eagan
Inspector Signature
Notes
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■■■•- Pink Copy: SEH