1663 Norwood Dr - Inspection Form400.
city of Ea pi
Residential Sanitary Sewer Service
Compliance Inspection
Name €),
77'1��"°` Disk #
a
PID Number
House Number
4" to 6" Transition:
l
Alternative Mailing Address
i6
White Copy: Property Owner
f • j /j 1 0am
Time • pm
Street Name
`- Owner /Occupant Signature
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
Service Lateral Inspection Findings
Roots
Non - Compliance
Number of stacks
a
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
phone —:
Obstruction
Unable to push past
feet
• O am
• _O pm
4
Inspector Signature
For information call 651.470.
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S. L.at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
NO
Pink Copy: SEH
Total
Number Discharged
Correctly Incorrectly Unknown
MINIM
Sump pumps
Foundation drains
Roof drains
400.
city of Ea pi
Residential Sanitary Sewer Service
Compliance Inspection
Name €),
77'1��"°` Disk #
a
PID Number
House Number
4" to 6" Transition:
l
Alternative Mailing Address
i6
White Copy: Property Owner
f • j /j 1 0am
Time • pm
Street Name
`- Owner /Occupant Signature
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
Service Lateral Inspection Findings
Roots
Non - Compliance
Number of stacks
a
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
phone —:
Obstruction
Unable to push past
feet
• O am
• _O pm
4
Inspector Signature
For information call 651.470.
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S. L.at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
NO
Pink Copy: SEH