864 Wescott Square - Inspection FormMY ilk' F i a
Residential Sanitary Sewer Service
Compliance Inspection
Date / if1
, r
Name :3 vs. ._ 1' ! Y
Alternative Mailing Address
, /6.1
p�arn
Time
Disk #
PID Number
House Number r Street Name
OwnerlOccupant Signature
- CID -CLJ
` ,. ' (// J
1
For information call 651.4702788
Compliance
O No foundation drain connection
f No roof drain connection
,,p Sump pit not connected to
sanitary sewer
Oump pump properly piped
O No sump pump
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 _ 1 Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition `i ' / 4f-/ f
4" to 6" Transition:
Ai 4
Length of Service:
White Copy: Property Owner
(AVOW i&/ ecivm " ) 1
Record Number
D
Ph e
!
f
.s,
/) • CYam
Time / O O pm
Obstruction
Unable to push past
feet
4
z2/' -777/.2
L//ns ctor Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /44,0041/4/
Notes f ct/ l �r adic
/. . c - 74
641',451 (xpii
Yellow Copy: City of Eagan Pink Copy SFH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
{
Roof drains
�_,
�__._. _.�
.�,�__..
MY ilk' F i a
Residential Sanitary Sewer Service
Compliance Inspection
Date / if1
, r
Name :3 vs. ._ 1' ! Y
Alternative Mailing Address
, /6.1
p�arn
Time
Disk #
PID Number
House Number r Street Name
OwnerlOccupant Signature
- CID -CLJ
` ,. ' (// J
1
For information call 651.4702788
Compliance
O No foundation drain connection
f No roof drain connection
,,p Sump pit not connected to
sanitary sewer
Oump pump properly piped
O No sump pump
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 _ 1 Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition `i ' / 4f-/ f
4" to 6" Transition:
Ai 4
Length of Service:
White Copy: Property Owner
(AVOW i&/ ecivm " ) 1
Record Number
D
Ph e
!
f
.s,
/) • CYam
Time / O O pm
Obstruction
Unable to push past
feet
4
z2/' -777/.2
L//ns ctor Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /44,0041/4/
Notes f ct/ l �r adic
/. . c - 74
641',451 (xpii
Yellow Copy: City of Eagan Pink Copy SFH