1663 Norwood Dr - Inspection Form 2
Residential Sanitary Sewer Service
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City 1 rlr
Compliance Ins
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Dated Time pm Record Number
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Name- Disk # J ! I (ter Time pm
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PID Number,
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House Number ss . 7. Street Name_ _
Alternative Mailing Address Phone 4~
1 O~4nerloccupant Signature 1' inspector lignoture
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water- connections to Unable to push past O No one in
4
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
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
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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: / ~ _r! Final Cleanout:
/4--
Notes
Number Discharged 4
Total Correctly Incorrectly Unknown! - ~~~`~~'~---''(~r~~1 1
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I,~ r.•P -!1 a /6 =3S./7~.., -5w,'~,
Sump pumps -mil J f , ! j f}
Foundation drains { ,-w?may
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH