1660 Sherwood Way - Inspection Forms411
EltY Of halaa Compliance Inspection
Residential Sanitary Sewer Service
Date _ / 1
-22
Name /02/4
PID Number
Alternative Mailing Address
4" to 6"Transition:
Compliance
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
White Copy: Property Owner
/./.:'` • 0 am
Time - ' p
Disk #
Owner/Ocarpant Signature
Non
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
Record Number
Phone
Time
= inspector Signature
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
Notes
,
)
• Om
• 0 pm
House Number Street Name ,Vitc
„ ?"
For information call 651.470.2788
No Access
O No one in
, Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Fagan Pink Copy: SEH
Total
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
411
EltY Of halaa Compliance Inspection
Residential Sanitary Sewer Service
Date _ / 1
-22
Name /02/4
PID Number
Alternative Mailing Address
4" to 6"Transition:
Compliance
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
White Copy: Property Owner
/./.:'` • 0 am
Time - ' p
Disk #
Owner/Ocarpant Signature
Non
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
Record Number
Phone
Time
= inspector Signature
Obstruction
Unable to push past
feet
Length of Service: Final Cleanout:
Notes
,
)
• Om
• 0 pm
House Number Street Name ,Vitc
„ ?"
For information call 651.470.2788
No Access
O No one in
, Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Fagan Pink Copy: SEH
Compliance
No foundation drain connection
AO No roof drain connection
r
� Sump pit not connected to
sanitary sewer
a Sump pump properly piped
0 No sump pump
For information call 651.470.2788
Non - Compliance
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Obstruction
Unable to push past
S feet
No Access
0 No one in
0 Access to service
lateral needed
0 Inspection
refused
Aid 9
r
G ier
foci-, ,,.,fr -
I I
Service Lateral Inspection Findings Number of stacks__ 1 Entered S L at - '<' ('
- y
Roots o_f
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection 5'1 5 f7 ---,--
Damaged Pipe
Transition t/f'V A > -.1 , �1G Z - �.� z
1 1
4" to 6 "Transition: ,,,,, Length of Service: fi x . .F. --yy Fina Cleanout:
Number
Correctly
Discharged
Incorrectly Unknown
Notes
* Ivi, i ( P ' {„ 4'r7_ - IL
.
L ' r ,., -_�
,
Total
Sump pumps
Foundation drains
Roof drains
ice)
alta-
City al Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Date(/ / / 7/ / /c
Name ,r2.44 / geZr(
PID Number
House Number
Alternative MailingAddress
White Copy: Property Owner
Time // • p pm
Disk #
OwnerlOccupant Signature
L f
Street Name `✓i`' GrJ
Yellow Copy: City of Eagan
Record Number °
*am
Time l - • o pm
Phone ( (7e.;
t t 1
inspector Signature
Pink Copy: SEH
City of a ap
Residential Sanitary Sewer Service
Compliance Inspection
•
Date ` l / Time / •.3
Name '»,v ' 2 '
PID Number
House Number
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
v
9'No foundation drain connection
7 ,0No roof drain connection
Cr Sump pit not connected to
sanitary sewer
'
6 Sump pump properly piped
0 No sump pump
Disk # L2
.� am
0 pm
yJ
Street Name
Record Number?
O '
Time / VC
/j
Phone 'e.
. J�r�
Inspector Signature
For information call 65 1.470.2788
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
Obstruction
Unable to push past
2 , feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 1 Entered S L at
Roots 7/
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ' ' J AR f �r C- ,_S l`
4" to 6 "Transition: /\/j ' ° c' L /\--/
White Copy: Property Owner
i
:
Length of Service: //r4/ /td,] /,,,/ Final Cleanout:
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Discharged
Incorrectly Unknown
Notes — ' 047, y
L/,, ' / 6 J S+ A - - ( ) 4J , !
a �__ t - 7,A7 i� /
Total Correctly
Sump pumps
MIMI
Foundation drains
-
- __._ ,_ —
Roof drains
~-
City of a ap
Residential Sanitary Sewer Service
Compliance Inspection
•
Date ` l / Time / •.3
Name '»,v ' 2 '
PID Number
House Number
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
v
9'No foundation drain connection
7 ,0No roof drain connection
Cr Sump pit not connected to
sanitary sewer
'
6 Sump pump properly piped
0 No sump pump
Disk # L2
.� am
0 pm
yJ
Street Name
Record Number?
O '
Time / VC
/j
Phone 'e.
. J�r�
Inspector Signature
For information call 65 1.470.2788
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
Obstruction
Unable to push past
2 , feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 1 Entered S L at
Roots 7/
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ' ' J AR f �r C- ,_S l`
4" to 6 "Transition: /\/j ' ° c' L /\--/
White Copy: Property Owner
i
:
Length of Service: //r4/ /td,] /,,,/ Final Cleanout:
Yellow Copy: City of Eagan
Pink Copy: SEH