1671 Norwood Dr - Inspection Form
Residential Sanitary Sewer Service
I rlr Compliance Inspection
J- Record Number
Time
Date 1 v I r- p Pm
Time r a
' E,13Name Disfc # . O Pm
PID Number
i
House Number- I f Street Name
'7 77- F/
Alternative"Mailing Address Phone
O'wnerrloccupont Signature ' inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
kV
Q No foundation drain connection O Clear water, connections to Unable to push past O No one in
Oj 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
Service Lateral Inspection Findings Number of stacks Entered S.L.at_
Roots
Poor Pipe Joints _
Mineral Deposits i
Sag/Pipe Deflection
Damaged Pipe -
7 f Transition °4 t
4" to 6"Transition: Length of Service: ? 1 _ Final Cleanout: ' J Number
Total Correctly Incorrectly Unknown
/Y J-
Z_-
Sump pumps
! ?
/,v3
Foundation drains i
Roof drains
White Copy. Pi opei ty Owner Yellow Copy- City of Fagan Pink Copy- SEH