874 Wescott Square - Inspection Form.....,
City of EaRgi
Residential Sarlitary Sewer Set-vice
Compliance Inspection
/ 1 >h /
, - /1
Name #
PID Number
House Number
Alternative Mailing Address
Com pliance
No foundation drain connection
No roof drain connection
Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
1
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
• .",
Time • —
Street Name
a
pan ur
)
r
For information call 651.470.2788
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 Entered S L at
Roots
Yellow Copy: City of Eagan
z
.1
Record Number
1
CParn
o ▪ pm
Phone . /
inspector Signature
Obstruction
Unable to push past
feet
i t/
Length of Service: 16;67 4- Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
CZ' A
7
/ •
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
/1
_
I L,/
i _ .... ...,
i 1'
/
''."----."-' ,i / --
I
Foundation drains
....-
Roof drains
/ .-...,
, ;
.....,
City of EaRgi
Residential Sarlitary Sewer Set-vice
Compliance Inspection
/ 1 >h /
, - /1
Name #
PID Number
House Number
Alternative Mailing Address
Com pliance
No foundation drain connection
No roof drain connection
Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
1
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
• .",
Time • —
Street Name
a
pan ur
)
r
For information call 651.470.2788
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 Entered S L at
Roots
Yellow Copy: City of Eagan
z
.1
Record Number
1
CParn
o ▪ pm
Phone . /
inspector Signature
Obstruction
Unable to push past
feet
i t/
Length of Service: 16;67 4- Final Cleanout:
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
CZ' A
7
/ •
Pink Copy: SEH