1649 Norwood Dr - Inspection FormCity of la p
Residential Sanitary Sewer Service
Compliance Inspection
Date / f2 / I (3
Name
} >
f Disk #
Service Lateral Inspection Findings
White Copy: Property Owner
/� •,� am
Time ) • o p
PID Number
House Number ? �� Street Name ✓ 1
Alternative Mailing Address
OwnerlOccupanYgignature
Compliance
/ No foundation drain connection
C/ No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
i
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 - �..
• _ am
Time >) • o prn
Inspector Signoture
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks ; Entered S,L,at
No Access
O No one in
Length of Service: r a- Anal Cleanout:
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ��'� ,-
/f r
4" to 6" Transition:
r
:'i
Pink Copy: SEH
Total
Notes
Number
Discha
ged
Correctly
Incorrectly
Unknown
Sump pumps
-- .. .� - /t"..2
i .x
y''
%
.'' I,"r
ita
Foundation drains
c;
Roof drains
(3
City of la p
Residential Sanitary Sewer Service
Compliance Inspection
Date / f2 / I (3
Name
} >
f Disk #
Service Lateral Inspection Findings
White Copy: Property Owner
/� •,� am
Time ) • o p
PID Number
House Number ? �� Street Name ✓ 1
Alternative Mailing Address
OwnerlOccupanYgignature
Compliance
/ No foundation drain connection
C/ No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
i
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 - �..
• _ am
Time >) • o prn
Inspector Signoture
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks ; Entered S,L,at
No Access
O No one in
Length of Service: r a- Anal Cleanout:
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ��'� ,-
/f r
4" to 6" Transition:
r
:'i
Pink Copy: SEH