1454 Wellington Way - Inspection FormCity of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
Date )�':
0-'7) , f
Name r_ "" 7 ` _� 4./).
PID Number qq
House Number } ) 4 `3r Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Owner /Occupant Signature, C�
Service Lateral Inspection Findings
.."- ..-f p am
Time )_
�.0 -.� • pm
Disk #
-m
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
7 1 ( 2 4 7 , , Q
Phone
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
V
Inspector Signature ' .i^ j !V
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S. L at
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
1._.
? "
J -'3. LA„,,
. " r i C f.)_
Total
Sump pumps
? i
Foundation drains
ME-
Roof drains
` ~
'/
City of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
Date )�':
0-'7) , f
Name r_ "" 7 ` _� 4./).
PID Number qq
House Number } ) 4 `3r Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Owner /Occupant Signature, C�
Service Lateral Inspection Findings
.."- ..-f p am
Time )_
�.0 -.� • pm
Disk #
-m
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
7 1 ( 2 4 7 , , Q
Phone
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
V
Inspector Signature ' .i^ j !V
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S. L at
Pink Copy: SEH