1594 Sherwood Way - Inspection Forms41111`' City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
am
Date 1 1 ✓ Time I • ' pm
Narne U/ 7 ,.4 It Disk #$
PED Number
House Number ' Street Name
-m-
Record Number
L.
p am
Time ) •• pm
Alternative Mailing Address Phone
OwrierlOccupant Signature
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Non -Compliance
0
O
O
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Obstruction
Unable to push past
feet.
No Access
O No one in
Air Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Number of stacks
Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
Length of Ser vice:
Final Cleanout:
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number Discharged
Notes r
.-'"�. rad ; i : -71 i
Total
Correctly
'Incorrectly
Unknown
77'
Sump pumps
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_
; r- �
_ r
,- .5 r �,
.? 0 ''' ' /
i w
f
Y' J,: iC
C� r < i (." c.,./:_)i
2 ' i
r' "-/ ? �- ;' r" (?/'' fu ' ') �t
Foundation drains
f
- r
,•--, :..
' l ! --- -iG.
G' . j={
," f L, { fi
Roof drains
1
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
(kJ
Alb
Eity DI to
Residential Sanitary Sewer Service
Compliance Inspection
2
Date . 1" t ' /
Time
i t d)t) Disk #
Name ilj ���� .�-�--
P!D Number
•-✓(.7oam
• ( pm
i
Record Number
House Number I Street Name
Alternative Mailing Address
Time
•
•
20
o am
pm
Phone •4
OwrerlQcc pant Signature
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
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
Obstruction
Unable to push past
feet
No Access
O No one in
fp Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S. L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection_
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service: Final Cleanout:
Number Discharged
/Incorrectly
i " 4
Total
Sump pumps
Foundation drains
Correctly
A
Unknown
Roof drains
White Gopy: Property Owner
Notes _
Yellow Copy: City of Fagan Pink Gopy: SEH