931 Wescott Square- Inspection Formr City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date
. F /1 % / j r / Y
Name Y: •
r r
PID Number
House Number
Alternative MailingAddress
For information call 65.1.470.2788.
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
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Total
Time / • • cic E pm
Disk #
Owner /Occupant Signature
-LLJ-
Street Name IJ ' 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
Number of stacks
>l< <Q ) 7)
Length of Ser vice:
Number Discharged
Incorrectly
Unknown
Yellow Copy: City of Eagan Ts
Record Number
Time
Phone . 1 /' -r }
,/ �:
Obstruction
Unable to push past
feet
Entered S L at
•
Inspector Signature
Final Cleanout:
Notes r )T a_‘
F n /
v �! . 1 74 " l 614-t4:1--
.w
at/A/Mr
- r r 0A.„3
f
r i
0 a
O pm
No Access
O No one in
( Access to service
lateral needed
O Inspection
refused
ink Copy: SEH