947 Wild Rose Ct - Inspection FormCity of .P.pp
Residential Sanitary. Sewer Service
C°" inspection
Date eic/2..... /
Name 4/("_
•
Compliance
0 No foundation drain connection
,0 . No roof drain connection
0/Sump pit not connected to
sanitary sewer
, (Sump pump properly piped
0 No sump pump
Time h j n ,'
Disk #
PID Number
House Number 9 V / Street Name
OwnerlOccupant Signature
Alternative Mailing Addr ess
•
-•
Record Number
Time • ---r"
am
_O Pm
Phone
a
/ Ir4ector Signature
For information call 651A70.2788
Non-Compliance
O Clear water connections to
sanitary sewer
Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Obstruction
Unaple to push past
-1 feet
/(0 /2
p r
(-71
Service Lateral Inspection Findings Number of stacks Entered St. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection -.., e .
Damaged C6
P7p i)r. / ,
„_. 1 7 --- c.... 0 / 014,, S ,:),,e ,,--,:_— e r 1'1 l 7 ., " F
,.
'Transition '., 1 I
4" to 6" Transition:
White Copy: Property Owner
/L djV
7/
—
Length of Service:
Yellow Copy: City of Eagan
No Access
O No one in
O Access to service
lateral needed
O Inspection
r fused
(
Final Cleanout: at
Pink Copy: SEH
Total
Notes ---,
z 7
' / -,"
Air....- ,.....--,-,- J:
... -,.. .
......
------,--7
f 7 , 4/ ,,
I 6
— ,7; 4 '•= - -f-fte -- /e' r — - ,21r . ::,/,•••c , _.,.. ,
- • ..r e,... '
„...? . - .,,,, 9 i ,-, .---
.‘".." ,a?:t9 C.,.. , , - , -r,) , - -- ---
_..7/ c , , , /
,,,_ r ! ' ""- - '-'-'
( - ' , /(2 7 1 er., .e.= - f -'•" - -
' e ---- !_'‘..=.6" /,-
...--
.9 - A- --,- 11
- ' -Li--
. . Number
•Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
f --
-...../
-- -- -
- -
City of .P.pp
Residential Sanitary. Sewer Service
C°" inspection
Date eic/2..... /
Name 4/("_
•
Compliance
0 No foundation drain connection
,0 . No roof drain connection
0/Sump pit not connected to
sanitary sewer
, (Sump pump properly piped
0 No sump pump
Time h j n ,'
Disk #
PID Number
House Number 9 V / Street Name
OwnerlOccupant Signature
Alternative Mailing Addr ess
•
-•
Record Number
Time • ---r"
am
_O Pm
Phone
a
/ Ir4ector Signature
For information call 651A70.2788
Non-Compliance
O Clear water connections to
sanitary sewer
Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Obstruction
Unaple to push past
-1 feet
/(0 /2
p r
(-71
Service Lateral Inspection Findings Number of stacks Entered St. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection -.., e .
Damaged C6
P7p i)r. / ,
„_. 1 7 --- c.... 0 / 014,, S ,:),,e ,,--,:_— e r 1'1 l 7 ., " F
,.
'Transition '., 1 I
4" to 6" Transition:
White Copy: Property Owner
/L djV
7/
—
Length of Service:
Yellow Copy: City of Eagan
No Access
O No one in
O Access to service
lateral needed
O Inspection
r fused
(
Final Cleanout: at
Pink Copy: SEH