946 Wild Rose Ct - Inspection FormSump pumps
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+8
Foundation drains
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Roof drains
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u-os
4 111 Cit al' eta n
City l�
Residential Sanitary Sewer Service
Compliance Inspection
Date _.. T
it
Name ]ro i ft / Disk #
MD Number
House Number ' _ /
Alternative Mailing Address Phone
No roof drain connection
Q Sump pit not connected to
sanitary sewer
ii
Q Sump pump properly piped
0 No sump pump
a �
fF .
4" to 6" Transition:
White Copy: Property Owner
,.r
Time . o •
Owner/Occupant Signature
Compliance
No foundation drain connection
Service Lateral Inspection Findings
Roots
For information call 651.470.2788
i
r
Total
i I
r
Street Name ' l ' r..
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
Correctly
am
pm
Number of stacks
Number Discharged
Incorrectly Unknown
Record Number
Inspector Signature
Obstruction
Unable to push past
feet
� O am
-Times • iPm
No Access
O No one in
O Access to service
lateral needed
.0 inspection
refused
EnteredS.Lat
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe I
Transition- 13 u a
I f
Length of Service:
gt q. - -- Final Cieanout:"
Notes
F'2
r a
Yellow Copy: City of Eagan Pink Copy: SEH
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
/).
Date / ! J
Name ,r
l A
ND Number
House Number
Disk#
am
Time pm
Street Name
OwnerlOccupant Signature
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poo n,Pipefonts -� -�
Miner
Transition
4" to 6" Transition:
White Copy: Property Owner
Non - Compliance
O
O
O
O
O
eposits .y�?/ •
Sag/Ply y Deflection - 7 / ,
J k
Dart;igetl Pipe
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
1
> / ' r )'
..4 %-_T ▪ if ; r' w
Length of Service:
Record Number
Time
Phone
r
•
Inspector Signature
Obstruction
Unable to push past
feet
Notes
� f r
—. ?a /1-
/ d
* O am
• • O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Final Cleanout:
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
MEM
Roof drains
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
/).
Date / ! J
Name ,r
l A
ND Number
House Number
Disk#
am
Time pm
Street Name
OwnerlOccupant Signature
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poo n,Pipefonts -� -�
Miner
Transition
4" to 6" Transition:
White Copy: Property Owner
Non - Compliance
O
O
O
O
O
eposits .y�?/ •
Sag/Ply y Deflection - 7 / ,
J k
Dart;igetl Pipe
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
1
> / ' r )'
..4 %-_T ▪ if ; r' w
Length of Service:
Record Number
Time
Phone
r
•
Inspector Signature
Obstruction
Unable to push past
feet
Notes
� f r
—. ?a /1-
/ d
* O am
• • O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Final Cleanout: