930 Wild Rose Ct - Inspection Form401
City of Eaaan
Residential Sanitary Sewer Service
Compliance Inspection
Date
) 1000 .'''"---114-71;lsk L} 73'..--1 71 57 M7
Name
PID Number
House Number
Alternative Mailing Address
" OwnerIbccupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
/
▪ 0 No sump pump
V
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Tr ansition: )
11R
Sump pump properly piped
White Copy: PI opel ty Owner
Time ) ••
'77))
Street Name
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
Number of stacks
Entered S.L at (
.r..<
Length of Service:
Yellow Copy: City of Eagan
Record Number.
1
1
1
) Time am
Pm
2 -
i
Phone
inspector Signature
Obstruction
Unable to push past
feet
7-
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
(-)
Pink Copy: SEH
Number
Correctly
Discharged
Notes
Total
Incorrectly
Unknown
Sump pumps
i
Foundation drains
:
Roof drains
, ... , ,,,
...._,
401
City of Eaaan
Residential Sanitary Sewer Service
Compliance Inspection
Date
) 1000 .'''"---114-71;lsk L} 73'..--1 71 57 M7
Name
PID Number
House Number
Alternative Mailing Address
" OwnerIbccupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
/
▪ 0 No sump pump
V
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Tr ansition: )
11R
Sump pump properly piped
White Copy: PI opel ty Owner
Time ) ••
'77))
Street Name
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
Number of stacks
Entered S.L at (
.r..<
Length of Service:
Yellow Copy: City of Eagan
Record Number.
1
1
1
) Time am
Pm
2 -
i
Phone
inspector Signature
Obstruction
Unable to push past
feet
7-
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
(-)
Pink Copy: SEH