3490 Wescott Woodlands - Inspection FormCity or Eajn
Residential Sanitary Sewer Service
Compliance Inspection
Date /�2l
Name ! i� - / A4 } Disk #
PID Number
House Number
Alternative Mailing Address
•
pliance
No foundation drain connection
No roof drain connection
� !/
.C7 Sump pit not connected to
S sanitary sewer
„c5 Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Y \ 7
Sag /Pipe Deflection ,
4" to 6 "Transition: , j y / L
White Copy: Proper ty Owner
• f ' Q am
Time • ._� pm
Street Name
Owner /Occupant Signature
For information call 651 .470.2788
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
Damaged Pipe
Transition
/ .
Number of stacks Entered 5 L, at > �
Length of Service:
Yellow Copy: City of Eagan
Record Number
Notes
Phone r
e.
® LJ 0- am
Time
• — o Pm
Obstruction
Unable to push past
feet
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
% 1 I
"-7"" .:1.
Pink Copy: SEH
7J
7
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
j
' -
Foundation drains
zn
Roof drains
)
City or Eajn
Residential Sanitary Sewer Service
Compliance Inspection
Date /�2l
Name ! i� - / A4 } Disk #
PID Number
House Number
Alternative Mailing Address
•
pliance
No foundation drain connection
No roof drain connection
� !/
.C7 Sump pit not connected to
S sanitary sewer
„c5 Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Y \ 7
Sag /Pipe Deflection ,
4" to 6 "Transition: , j y / L
White Copy: Proper ty Owner
• f ' Q am
Time • ._� pm
Street Name
Owner /Occupant Signature
For information call 651 .470.2788
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
Damaged Pipe
Transition
/ .
Number of stacks Entered 5 L, at > �
Length of Service:
Yellow Copy: City of Eagan
Record Number
Notes
Phone r
e.
® LJ 0- am
Time
• — o Pm
Obstruction
Unable to push past
feet
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
% 1 I
"-7"" .:1.
Pink Copy: SEH
7J
7