828 Wescott Square - Inspection FormCity o Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 ] Z r l
Name 4Tr✓C
PID Number
Compliance
Alternative Mailing Address
bY'No foundation drain connection
No roof drain connection
cc' Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
6 No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
Transition ;v `C f
1,/. A Z 5
i .c & . _ 7
4" to 6 " Transition:
,
White Copy: Property Owner
Time t%' : `>J t (- p a rn rn
Disk #
Owner /Occupant Signature
0
- Ltd -[1J
House Number Street Name
1
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:
{
Record Number
Notes
Time 7 e °`
•p am
0 pm
Phone //1 Z /3 - 2'
-.? C
it
/!inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S L.at JP -L"'
No Access
O No one in
• Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Final Cleanout:
-
d
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
= -
a - ° °r.�
.°" �_°
,}°,•..4 -. :u
Roof drains
-- r
City o Eagan
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 ] Z r l
Name 4Tr✓C
PID Number
Compliance
Alternative Mailing Address
bY'No foundation drain connection
No roof drain connection
cc' Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
6 No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
Transition ;v `C f
1,/. A Z 5
i .c & . _ 7
4" to 6 " Transition:
,
White Copy: Property Owner
Time t%' : `>J t (- p a rn rn
Disk #
Owner /Occupant Signature
0
- Ltd -[1J
House Number Street Name
1
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:
{
Record Number
Notes
Time 7 e °`
•p am
0 pm
Phone //1 Z /3 - 2'
-.? C
it
/!inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S L.at JP -L"'
No Access
O No one in
• Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Final Cleanout:
-
d
Yellow Copy: City of Eagan Pink Copy: SEH