1519 Wellington Way - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date 07 1 n
Name ? i I
PID Number
House Number 5 1 ° 1
Alternate ailing Address
M ) .1 0 .),/
Owner/Occupant Signature
White Copy: Property Owner
Time
Disk It
o am
O pm
Street Name
Yellow Copy: City of Eagan
Record Number C. 33
LJp
Time
inspector Signature
•
O am
O pm
Phone _ L ,r 5P 3 i
Compliance
rC
O No sump pump
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
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
Obstruction
Unable to push past
feet
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints )
)
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
i(091 LIci .*533"7��
4" to 6" Transition: /
Number of stacks 3
Length of Service: 9 S
Entered S. at T r"
Final Cleanout:
For Information call 651.470.2788
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
t
Roof Drains
Residential Sanitary Sewer Service
Compliance Inspection
Date 07 1 n
Name ? i I
PID Number
House Number 5 1 ° 1
Alternate ailing Address
M ) .1 0 .),/
Owner/Occupant Signature
White Copy: Property Owner
Time
Disk It
o am
O pm
Street Name
Yellow Copy: City of Eagan
Record Number C. 33
LJp
Time
inspector Signature
•
O am
O pm
Phone _ L ,r 5P 3 i
Compliance
rC
O No sump pump
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
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
Obstruction
Unable to push past
feet
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints )
)
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
i(091 LIci .*533"7��
4" to 6" Transition: /
Number of stacks 3
Length of Service: 9 S
Entered S. at T r"
Final Cleanout:
For Information call 651.470.2788
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551