3530 Wescott Woodlands - Inspection Formtapo
Residential Sanitary Sewer Service
Compliance Inspection
Dated, / ,/ I (%
Name
n
f
PID Number
House Number Street Name `/J
Alternative Mailing Address
Disk #
OivnerlOccupant Signature
For information call 651:470.2788
Compliance
;er'No foundation drain connection
p No roof drain connection
y ir`'Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks _ .. Entered S.L..at ) /4 r
Roots
Poor Pipe Joints_
Mineral Deposits ff
Sag /Pipe Deflection20 i ~
Damaged Pipe =,
Transition '•v L f l (4/
4" to 6" Transition: it-
White Copy: Property Owner
• ( 0 am
Time / • p`pm
0
- �- LLJ -[1 J
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
f
Phone
Time
o -
Inspector ignature
Obstruction
Unable to push past
feet
Final CIeanout:
O am
9
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
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Number
Discba
ged
Correctly
Incorrectly.•'
Unknown
Sump pumps
f
1
Foundation drains.
_
Roof drains
7. --'
'i
-
- - -- _
tapo
Residential Sanitary Sewer Service
Compliance Inspection
Dated, / ,/ I (%
Name
n
f
PID Number
House Number Street Name `/J
Alternative Mailing Address
Disk #
OivnerlOccupant Signature
For information call 651:470.2788
Compliance
;er'No foundation drain connection
p No roof drain connection
y ir`'Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings Number of stacks _ .. Entered S.L..at ) /4 r
Roots
Poor Pipe Joints_
Mineral Deposits ff
Sag /Pipe Deflection20 i ~
Damaged Pipe =,
Transition '•v L f l (4/
4" to 6" Transition: it-
White Copy: Property Owner
• ( 0 am
Time / • p`pm
0
- �- LLJ -[1 J
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
f
Phone
Time
o -
Inspector ignature
Obstruction
Unable to push past
feet
Final CIeanout:
O am
9
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
City of ,a an
Residential Sanitary Sewer Service
Compliance Inspection
Da / /7
Name % .> 4 C j; C%r
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
V Io foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
,Sump pump properly piped
0 No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
/ ' • 0 a
t / Time r • V tf w pm
OvrrierlOccupant Signature
Disk #
0
O
O
O
Service Lateral Inspection Findings
Roots
0
711
Non - Compliance
Poor Pipe joints
Mineral Deposits
/j
Sag /Pipe Deflection22
Damaged Pipe
Transition 1 /4/v 7
DL-L
Record Number.
Time /
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
e7
Notes
Phone
Obstruction
Unable to push past
feet
p am
Obm
. fnspector
For information call 651 470.2788
No Access
O No one in
Final Cleanout: , / //
r vr ;
r i
I
O Access to service
lateral needed
O Inspection
refused
Number of stacks $ Entered S.L.. at / 4j 1 7 £�
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly
Unknown
Sump pumps
Foundation drains
-ry
Roof drains
_t�
/
-
City of ,a an
Residential Sanitary Sewer Service
Compliance Inspection
Da / /7
Name % .> 4 C j; C%r
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
V Io foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
,Sump pump properly piped
0 No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
/ ' • 0 a
t / Time r • V tf w pm
OvrrierlOccupant Signature
Disk #
0
O
O
O
Service Lateral Inspection Findings
Roots
0
711
Non - Compliance
Poor Pipe joints
Mineral Deposits
/j
Sag /Pipe Deflection22
Damaged Pipe
Transition 1 /4/v 7
DL-L
Record Number.
Time /
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
e7
Notes
Phone
Obstruction
Unable to push past
feet
p am
Obm
. fnspector
For information call 651 470.2788
No Access
O No one in
Final Cleanout: , / //
r vr ;
r i
I
O Access to service
lateral needed
O Inspection
refused
Number of stacks $ Entered S.L.. at / 4j 1 7 £�
Yellow Copy: City of Eagan Pink Copy: SEH