834 Wescott Square - Inspection Form4 11. i
City Ea
pi
p
Residential Sanitary Sewer Service
Compliance Inspection
Date/ 1 /
Naive
PID Number
House Number
Alternative, Mailing Address
1
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Time
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
Street Name
1' am
� pm
1
For information call 65 1.470.2788
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
Number of stacks I t Entered S L. at '' 1
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
r
4" to 6 "Transition: w9
'
,.•"'; gy p°`
Length of Service: -;
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Time •
q a,3
Phone - _ �- � .• ;
Inspector Signature
i
i Final Cleanout:
" ova
pm
No Access
O No one in
�a
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Note .
) i ` °. "`1 ..:
fi i " )... -•fM.. , .; t:; ) 1.
'�
Total Correctly Incorrectly Unknown
111111E1111MIA
Sump pumps
P P P
Foundation drains
=� � )' -.
Roof drains
/
,
1M
4 11. i
City Ea
pi
p
Residential Sanitary Sewer Service
Compliance Inspection
Date/ 1 /
Naive
PID Number
House Number
Alternative, Mailing Address
1
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Time
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
Street Name
1' am
� pm
1
For information call 65 1.470.2788
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
Number of stacks I t Entered S L. at '' 1
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
r
4" to 6 "Transition: w9
'
,.•"'; gy p°`
Length of Service: -;
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Time •
q a,3
Phone - _ �- � .• ;
Inspector Signature
i
i Final Cleanout:
" ova
pm
No Access
O No one in
�a
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH