1674 Norwood Dr - Inspection Form41* City of Ea
Y i �
Residential Sanitary Sewer Service
Compliance Inspection
Dates/ /
Name
PO Number
House Number
Alternative Address
White Copy: Property Owner
v 1i
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
X No sump pump
: 3 , )O am
Time / P � .°tea✓✓ kx prp
Disk ##
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
�1
Transition
riAzi
4" to 6" Transition:
Street Name
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks r Entered S.L at ,�r ! --
Roots
1 0-
Yellow Copy: City of Eagan
Record Number.
Time
f
Phone
_‘Z" —) . — '-
Inspecto Signature
Obstruction
Unable to push past
feet
p m
7". m
Length of Service Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
incorrectly Unknown
Notes
I r -,
::71—k kr Ir l ' " / Irj -�M- jl � -
W.)/ ] 4'1:1_1,, /)
Total
Sump pumps
Foundation drains
N
Roof drains
41* City of Ea
Y i �
Residential Sanitary Sewer Service
Compliance Inspection
Dates/ /
Name
PO Number
House Number
Alternative Address
White Copy: Property Owner
v 1i
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
X No sump pump
: 3 , )O am
Time / P � .°tea✓✓ kx prp
Disk ##
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
�1
Transition
riAzi
4" to 6" Transition:
Street Name
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks r Entered S.L at ,�r ! --
Roots
1 0-
Yellow Copy: City of Eagan
Record Number.
Time
f
Phone
_‘Z" —) . — '-
Inspecto Signature
Obstruction
Unable to push past
feet
p m
7". m
Length of Service Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH