798 Wescott Square - Inspection Formr -;
City lit Eaai
Residential Sanitary Sewer Service
Compliance I ®n
Date
Name
G
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
!1 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
5 l No sump pump
Service Lateral Inspection
Transition L )
4" to 6" Transition:
White Copy: Pi opeity Ow tei
I •gy am
Time ▪ &-! pm
Disk #
�f Street Name
6wnerl0ccupant Signature
Non - Compliance
2 .
O Clear water connections to Unable to push past
sanitary sewer feet
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
• . am
Time f - t" . pm
Phone
Obstruction
Inspector Signature
For information call 451:470.2788
No Access
O No one in
O Access to service .
lateral needed
O Inspection
r efused
Findings Number of stacks_ 1 Entered S.L. at 71('7
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Final Cleanout: �
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
) -�
l ( 6 1 -- � 47,1
� .4 - ) — � // - ems-'° ,..,„ ,-)) , ,--_7
i • — , 6. 7
Total
Sump pumps
Foundation drains
Roof drains
Z.)
r -;
City lit Eaai
Residential Sanitary Sewer Service
Compliance I ®n
Date
Name
G
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
!1 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
5 l No sump pump
Service Lateral Inspection
Transition L )
4" to 6" Transition:
White Copy: Pi opeity Ow tei
I •gy am
Time ▪ &-! pm
Disk #
�f Street Name
6wnerl0ccupant Signature
Non - Compliance
2 .
O Clear water connections to Unable to push past
sanitary sewer feet
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
• . am
Time f - t" . pm
Phone
Obstruction
Inspector Signature
For information call 451:470.2788
No Access
O No one in
O Access to service .
lateral needed
O Inspection
r efused
Findings Number of stacks_ 1 Entered S.L. at 71('7
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Final Cleanout: �
Pink Copy: SEH