1601 Norwood Dr - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
1 =,
Date / ) 1 `t
Name ''?, Disk#
House Number
}
Alternative Mailing Address
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
4" to 6" Transition:
White Copy: Property Owner
Time
#. 4 0 am
•j pm
PID Number
Street Name
Ownerloccupanq Signature
Length of Service:
-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
Yellow Copy: City of Eagan
Record Number
Phone
Time
v.
Inspector Signature
• O am
• O Pm .
For information call 651.47 0.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered 5 L. at
Roots
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged.
Notes ,��...r .__;
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>'< - '
1 l.
'
_ . �-
J
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
1 =,
Date / ) 1 `t
Name ''?, Disk#
House Number
}
Alternative Mailing Address
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
4" to 6" Transition:
White Copy: Property Owner
Time
#. 4 0 am
•j pm
PID Number
Street Name
Ownerloccupanq Signature
Length of Service:
-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
Yellow Copy: City of Eagan
Record Number
Phone
Time
v.
Inspector Signature
• O am
• O Pm .
For information call 651.47 0.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered 5 L. at
Roots
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
City of Ea jai
Residential Sanitary Sewer Service
! • 0 am
Compliance Inspection
��
Date I Time o o pm
Name
PO Number
House Number 1 (O 1 Street Name _
Alternative Mailing Address
For information .call 651.470.2788
Compliance
No foundation drain connection
0 No roof drain connection
▪ Sump pit not connected to
sanitary sewer
`0 Sump pump properly piped
0 No sump pump
(73's €C LC.,AY'b. ) I Disk#
QwrrdrfOccupanc- Signature
White Copy: Pr open ty Owner
Non - Compliance
O
O
O
O
O
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
f
4 `
„ y °�
4" to 6" Transition:;;. l C.
- LLB -[±IJ
1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Sag /Pipe Deflection
Damaged Pipe
Transition t P
Number of stacks Entered 5 L. at TfiE.. f ``-J4 t, C€ 0
•
Legth of Service:
o \ t 9 ri
q 7
Phone G,1 — 71 —
Yellow Copy: City of Eagan
Record Number
A
1
r Insper Signature
Obstruction
Unable to push past
feet
f d am •
Time i • o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
# Final Cleanout:
Pink Copy: SEH
N otes.
{
l - it`L " . i 1--.
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
„.
Foundation drains
0
Roof drains. °
+gi
City of Ea jai
Residential Sanitary Sewer Service
! • 0 am
Compliance Inspection
��
Date I Time o o pm
Name
PO Number
House Number 1 (O 1 Street Name _
Alternative Mailing Address
For information .call 651.470.2788
Compliance
No foundation drain connection
0 No roof drain connection
▪ Sump pit not connected to
sanitary sewer
`0 Sump pump properly piped
0 No sump pump
(73's €C LC.,AY'b. ) I Disk#
QwrrdrfOccupanc- Signature
White Copy: Pr open ty Owner
Non - Compliance
O
O
O
O
O
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
f
4 `
„ y °�
4" to 6" Transition:;;. l C.
- LLB -[±IJ
1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Sag /Pipe Deflection
Damaged Pipe
Transition t P
Number of stacks Entered 5 L. at TfiE.. f ``-J4 t, C€ 0
•
Legth of Service:
o \ t 9 ri
q 7
Phone G,1 — 71 —
Yellow Copy: City of Eagan
Record Number
A
1
r Insper Signature
Obstruction
Unable to push past
feet
f d am •
Time i • o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
# Final Cleanout:
Pink Copy: SEH