1668 Sherwood Way - Inspection Form
Aesidential Sanitary Sewer Service
I compliance Inspection
"
Date f/Il Time 'S i DG (03 pm Record Number,
Name Uf~f Jvs' Disk# f Time i O pm
PID Number
House Number, ~Street Name
Alternative Mailing Address Phone f`
OWnerlOccupant Signature liispector Signature
For information call 651.470.2788
compliance Non-Compliance Obstruction No Access
K o foundation drain connection O Clear water- connections to Unable to push past O No one in
` No roof drain connection sanitary sewer feet O Access to service
O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes
l sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped . sewer
~((No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor•Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
✓ _
Transition 5 ~4
a
4" to 6"Transition: f, Length of Service: Final Cleanout:
~ b l'✓J l~
Notes
Number Discharged . .
Total Correctly Incorrectly Unknown
Sump pumps .t„.. - s_
Foundation drains
Roof drains'
White copy: Propeity Owner YeUow Copy: City of Eagan Pink Copy: S)~H