1652 Norwood Ct - Inspection Form4 or hp
Residential Sanitary Sewer Service
Compliance Inspection
Date ,..e4 1 / T, - 1 ) /
Name
P1D Number
House Number
Alternative Mail'ngAddress
Compliance
w No foundation drain connection
'0 No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral 1nspection:Findings Number of stacks
r ;! .
Roots 1 T -�
4" to 6"Transition:
I
White Copy: Property Owner
,-'27 Disk #
1 • 'SC am
Time • / p pm
Street Name
OwnerlOccupant Signature
r1
Length of Service:
Yellow Copy: City of Eagan
t
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
Record Number
f �r
Phone
Time
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L,at - - , i
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
: �..
Transition_
/ fir e sL
ice Final Cleanout: '
}
s?
•
Inspector Signature
0 a
0 P
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged �
Incorrectly Unknown
Notes 1
" 1 ,s mil-' .--- .-- f�-, , f w
i i i "^! j
;f
, ice f � C, f �. ,�
? f
Total
Sump pumps
-'s
Foundation drains
' .• ..1
Roof drains
'
1
4 or hp
Residential Sanitary Sewer Service
Compliance Inspection
Date ,..e4 1 / T, - 1 ) /
Name
P1D Number
House Number
Alternative Mail'ngAddress
Compliance
w No foundation drain connection
'0 No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral 1nspection:Findings Number of stacks
r ;! .
Roots 1 T -�
4" to 6"Transition:
I
White Copy: Property Owner
,-'27 Disk #
1 • 'SC am
Time • / p pm
Street Name
OwnerlOccupant Signature
r1
Length of Service:
Yellow Copy: City of Eagan
t
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
Record Number
f �r
Phone
Time
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L,at - - , i
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
: �..
Transition_
/ fir e sL
ice Final Cleanout: '
}
s?
•
Inspector Signature
0 a
0 P
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH