1640 Sherwood Way - Inspection FormCompliance
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
For information call 651.470.2788
No Access
0 No one in
Access to service
lateral needed
0 Inspection
refused
Non — Compliance
0 Clear water connections to
sanitary sewer
O Service lateral defects
0 Defective manholes
O Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition: Length of Service: Final Cleanout:
Number Discharged
Unknown
l ites
J J
i i•= G� '� ___/ F.
1 ' r f
1
! -- e-----? - r
.. = I. - ;
, -7 c ' -- ;v . ' � f '% "' ! :1
Total
Correctly
Incorrectly
Sump pumps
Foundation drains
Roof drains
/
City of Fain
Residential Sanitary Sewer Service
Compliance Inspection
Date 11
Name
PID Number
House Number
Alternative Mailing Address
White Copy: Property Owner
•_.'�„� O
Time �`ry_ rip_ pm am
/ ` i
1 , tr Disk # Fri
_�-�-
Owner /Occupant Signature
Yellow Copy: City of Eagan
Record Number
1 Time
• am
• o pm
Street Name '57,h"-71 '/_1 ( 1 ,_ 1
Phone t� �2 ._D / r 371 36
Inspector Signature
Pink Copy: SE H
Eapan
Residential Sanitary Sewer Service
Compliance Inspection
Date - 1 9 1 ? (�
Name
PID Number
House Number
Transition
Alternate Mailing Addres
lCA
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
No sump pump
Time
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
White Copy: Property Owner
'. G
+ ft
R T '- f
4" to 6" Transition:
Disk #
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
et
o am
O pm
Street Name
Number of stacks
Length of Service: lc,
Yellow Copy: City of Eagan
Record Number .c;'
Obstruction
Time
Phone
Inspector Signature
O am
O pm
For Information call 651.470.2788
Unable to push past
feet.
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Entered S L. at .tJ s
Final Cleanout: \c)
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551
Total
Number
Correctly
Discharged
incorrectly
Unknown
Notes
A 5 Yom' ''' ( �
} , ._ V
Sump Pumps
Foundation Drains
r
(--`
Roof Drains
Eapan
Residential Sanitary Sewer Service
Compliance Inspection
Date - 1 9 1 ? (�
Name
PID Number
House Number
Transition
Alternate Mailing Addres
lCA
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
o Sump Pump properly piped
No sump pump
Time
Service Lateral inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
White Copy: Property Owner
'. G
+ ft
R T '- f
4" to 6" Transition:
Disk #
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
et
o am
O pm
Street Name
Number of stacks
Length of Service: lc,
Yellow Copy: City of Eagan
Record Number .c;'
Obstruction
Time
Phone
Inspector Signature
O am
O pm
For Information call 651.470.2788
Unable to push past
feet.
No Access
O No one in
O Access to service lateral
needed
O Inspection refused
Entered S L. at .tJ s
Final Cleanout: \c)
Pink Copy: Benjamin Franklin Plumbing
651 - 222 -1551