1538 Sherwood Way - Inspection Form41110. City o Fa p
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
.-9
r
1 1 1 ) %r,
! z
/ 777 #
Alternative Mailing Address
4" to 6 "Transition:
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/CD` / No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
• C_,16,p am
Time • pm
Disk #
1 i P� �-
J . OwnerlOccupant Signature
•
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
/
Record Number'
PID Number
I
House Number 1 - > Street Name . r l 1 A 7 / -
i • �C
,`' Time ems •
7 , J
Phone
Obstruction
Unable to push past
feet
Entered S. L at
lJ i �r"�d �,•••
Inspector Signature
r am
pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
l� r Final Cleanout: 11
Pink Copy: SEH
Total
Notes
, ; 'F-
,
I/i ,J
<
J _, �
;, ,
1
,
?;
,/'
�f
-.
n
i
.
. ,
� , t ��� vvv '''���
'rr7 -3) ---/— /� c-- ,
I ,
i ,
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
41110. City o Fa p
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
.-9
r
1 1 1 ) %r,
! z
/ 777 #
Alternative Mailing Address
4" to 6 "Transition:
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/CD` / No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
• C_,16,p am
Time • pm
Disk #
1 i P� �-
J . OwnerlOccupant Signature
•
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
/
Record Number'
PID Number
I
House Number 1 - > Street Name . r l 1 A 7 / -
i • �C
,`' Time ems •
7 , J
Phone
Obstruction
Unable to push past
feet
Entered S. L at
lJ i �r"�d �,•••
Inspector Signature
r am
pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
l� r Final Cleanout: 11
Pink Copy: SEH