802 Wescott Square - Inspection FormSump pumps
Foundation drains
Roof drains
/
.
/ 1 \
--- .„
411111 City of EaRaii
Residential Sanitary Sewer Service
Compliance Inspection
Date ,z1).
Name Disk #
-
Alternative Mailing Address
Compliance
O No foundation drain connection
■
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
(70 No sump pump
4" to 6" Transition:
Service Lateral Inspection Findings
White Copy: Pieper ty Owner
L
Total
--- 7),
.7 • Br am
Time D • pm
PID Number
House Number - Street Name
Owner/Occupant Signature
For information call 651.470.2788
Non-Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered SL at
Roots
Poor Pipejoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
(
2
Transition
Correctly
Length of Service: ) )
Incorrectly
1
Number Discharged
Unknown
Record Number
, -
1E1- „-----,
.„-----
ime .--)
_-• • ••••- . _ • • - , •
Obstruction
•
Inspector Signature
1
7i Final Cleanout:
am
t pm
Phone . .
• "'” •••■
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1
Notes
c •
/
Yellow Copy: City of Eagan Pink Copy: SEH