830 Wescott Square - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
_
Date r / / (� /
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
!14 No roof drain connection
Sump pit not connected to
sanitary sewer
s
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
Time
Name ) ! . l( fl Disk #
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Total Correctly
i
• a
u (
'
.AwnerlOccupant Signature `'
For information call 65
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
Length of Service:
Number Discharged
Incorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
C.✓
!2 • v/
Time • 6 pm
Street Name LA,
Phone;%' `m
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks Entered S L at ` } -cf.i1
/)
`nal Cleanout:
No Access
O No one in
O Inspection
refused
'i 2 f '4/I
O Access to service
lateral needed
- Nots
Pink Copy: SEH
1
Sump pumps
.4
7
ME
.
Foundation drains
Roof drains
,
Residential Sanitary Sewer Service
Compliance Inspection
_
Date r / / (� /
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
!14 No roof drain connection
Sump pit not connected to
sanitary sewer
s
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
Time
Name ) ! . l( fl Disk #
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Total Correctly
i
• a
u (
'
.AwnerlOccupant Signature `'
For information call 65
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
Length of Service:
Number Discharged
Incorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
C.✓
!2 • v/
Time • 6 pm
Street Name LA,
Phone;%' `m
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks Entered S L at ` } -cf.i1
/)
`nal Cleanout:
No Access
O No one in
O Inspection
refused
'i 2 f '4/I
O Access to service
lateral needed
- Nots
Pink Copy: SEH