898 Wild Rose Ct - Inspection FormCity of Ian
Residential Sanitary ce Sewer Service
Complian Inspection
Date 0 / I O
H
Name
Compliance
No foundation drain connection
VIII No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
X No sump pump
White Copy: Property Owner ..
1 • -20 o am
Time • --' .'"4 Pm
Disk #
Alternative Mailing Address
Owner /Occupant Signature
2_ 3
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
4" to 6" Transition: 0 >: t: -. r�cp Length of Service: 7 1
Yellow Copy: City of Eagan
Record Number
P1D Number.
House Number S Street Name Jt k P Ct
Time
Phone 654 .cJ - 10
sp ector Signature
For information call 651.470.2788 '
Obstruction
Unable to push past
feet
t� U;as to
• 1 o 0
• O pm
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Service Lateral Inspection Findings " ?) Entered S..I_ at -cif= Si,A11C A *IT re„.
Roots E NA( r
1
PoorPipeJoints 11
1
Mineral Deposits
Sag /PipeeDefiection i _' / 5A .) -- 110 '
Dama Pipe 105;1.11E CA AT 11
Transition 'T (L.{11 I .( 7 AT ;I
Final Cleanout:
t.V)tL)UO )
Pink Copy: SEH
Number
Correctly
Discharged • • .
Incorrectly Unknown
Notes
°4'4.'''''V'"''J C' '''' ',r-L ii - ' joT ' -
Am): I" biro 9= p - t i a C {F S; - ti o. t.
Total
Sump pumps
•
y
p } JI
Foundation drains
Roof drains
City of Ian
Residential Sanitary ce Sewer Service
Complian Inspection
Date 0 / I O
H
Name
Compliance
No foundation drain connection
VIII No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
X No sump pump
White Copy: Property Owner ..
1 • -20 o am
Time • --' .'"4 Pm
Disk #
Alternative Mailing Address
Owner /Occupant Signature
2_ 3
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
4" to 6" Transition: 0 >: t: -. r�cp Length of Service: 7 1
Yellow Copy: City of Eagan
Record Number
P1D Number.
House Number S Street Name Jt k P Ct
Time
Phone 654 .cJ - 10
sp ector Signature
For information call 651.470.2788 '
Obstruction
Unable to push past
feet
t� U;as to
• 1 o 0
• O pm
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Service Lateral Inspection Findings " ?) Entered S..I_ at -cif= Si,A11C A *IT re„.
Roots E NA( r
1
PoorPipeJoints 11
1
Mineral Deposits
Sag /PipeeDefiection i _' / 5A .) -- 110 '
Dama Pipe 105;1.11E CA AT 11
Transition 'T (L.{11 I .( 7 AT ;I
Final Cleanout:
t.V)tL)UO )
Pink Copy: SEH