827 Wescott Square - Inspection Formx.>
n lity of Ea H
Residential Sanitary Sewer Service
Compliance Inspection
Date d / / 7 / /I2
Name
rte
PID Number
House Number Y-
- ; Street Name
Alternative Mailing Address
1 s fl
Compliance
'f
p No foundation drain connection
O-No roof drain connection
if. Sump pit not connected to
sanitary sewer
10 pump properly piped
0 No sump pump
Disk #
wnerIQccupant Signa
For information calf 651.470.2788
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6 " Transition:
`.!
White Copy: Pr operty Owner
Time 1- • 0'2 *pm
ure
Transition
� EE-L i ;J
Length of Service:
Yellow Copy: City of Eagan
Record Number
o a m
Time es / M pm
Phone f �� - =i �Y
; , '�/
; i
j 7 Irrspecto S nature
Obstruction
Unable to push past
feet
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
Number of stacks I Entered S. L at
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
rae
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged.
Incorrectly
.'
Unknown
Total
Sump pumps
[
Foundation drains
1
_.
--e�. ____�.
Roof drains
_.
x.>
n lity of Ea H
Residential Sanitary Sewer Service
Compliance Inspection
Date d / / 7 / /I2
Name
rte
PID Number
House Number Y-
- ; Street Name
Alternative Mailing Address
1 s fl
Compliance
'f
p No foundation drain connection
O-No roof drain connection
if. Sump pit not connected to
sanitary sewer
10 pump properly piped
0 No sump pump
Disk #
wnerIQccupant Signa
For information calf 651.470.2788
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6 " Transition:
`.!
White Copy: Pr operty Owner
Time 1- • 0'2 *pm
ure
Transition
� EE-L i ;J
Length of Service:
Yellow Copy: City of Eagan
Record Number
o a m
Time es / M pm
Phone f �� - =i �Y
; , '�/
; i
j 7 Irrspecto S nature
Obstruction
Unable to push past
feet
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
Number of stacks I Entered S. L at
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
rae
Final Cleanout:
Pink Copy: SEH