851 Wescott Square - Inspection FormSump pumps
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Foundation drains
A
Roof drains
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4 11. CA! of Ea an
Residential Sanitary Sewer Service
Compliance inspection
Date
Name r
House Number
Alternat e~MailingAddress
No sump pump
4" to 6 "Transition:
White Copy: Pr operty Owner
7
PID Number
OwnerlOccupant Signature
Compliance
O No foundation drain connection
el No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Transition `'_,-7
Total Correctly
am
. pm
Disk #
Street Name
For information call 651.470.2788
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
Service Lateral inspection Findings Number of stacks % Entered 5 Lat
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe j
Length of Service:
Number Discharged
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
«. -. o am
°' Time • . _ • pm
Phone�r;
Obstruction
Unable to push past
feet
•
, . Final Cleanout: 1 a
Motes
V /(2 ) .1 , '," /
I!
•
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH