809 Wescott Square - Inspection Form41111
City °1 Ha as
Residential Sanitary Sewer Service
Compliance Inspection
Date "• `f / es,___ 1
Name
• qtr' . g am
Time I i ® pm
Disk #
PID Number
---- . ' , ''
House Number t ° "1 Street Name
. -) ..
Alternative Mailing Address
Owner /Occupant Signature
Record Number
Time %
Phone .._
• O pm
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
1 sanitary sewer
4J Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition: 7
White Copy: Property Owner
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
Obstruction
Unable to push past
feet
Number of stacks 'I Entered S.L. at
Length of Service:
Yellow Copy: City of Eagan
,„ � mti ✓ w �� �j
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Einal Cleanout. , • „
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly.
Unknown
Notes
.--1 ) ---,- ya .i - s
C.: !�i 1 ` , ''' i °" 4 ,- ` ' i '' ` i 10 A `'
1 : 7 ;Z:. 9 't : 7';' < . .3 "''' ' - I "` - . :- ' .1 ' . . / )5
. - / 'y { J : -• t ,�,' !
r t J
_.-.) "7—..%"1-.7:-.. ,
Total
Sump pumps
Foundation drains
- -
Roof drains
-
41111
City °1 Ha as
Residential Sanitary Sewer Service
Compliance Inspection
Date "• `f / es,___ 1
Name
• qtr' . g am
Time I i ® pm
Disk #
PID Number
---- . ' , ''
House Number t ° "1 Street Name
. -) ..
Alternative Mailing Address
Owner /Occupant Signature
Record Number
Time %
Phone .._
• O pm
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
1 sanitary sewer
4J Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition: 7
White Copy: Property Owner
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
Obstruction
Unable to push past
feet
Number of stacks 'I Entered S.L. at
Length of Service:
Yellow Copy: City of Eagan
,„ � mti ✓ w �� �j
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Einal Cleanout. , • „
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH