1590 Norwood Cir - Inspection Form411
City ot fikaa
Residential Sanitary Sewer Service
Compliance Inspection
Date
{),7 ) Time d arn
/d pm
2.-7) . 4,1/"A
Name) ) / i4 4
.„ Disk #02
PID Number
House Number (--- Street Name \Z<1L
Alternative Mailing Addr ess
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
Roots
4" to 6" Transition:
White Copy: Pr operty Owner
Owner/Occupant Signature
Non-Compliance
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time 6:2
pm
For information call 651.470.2788
Obstruction
Inspector Signature
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
-
sewer
O Flexible sump pump piping
L7C2±) )
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral inspection Findings Number of stacks Entered S L. at
)
Poor PipeJoints
/- -
Mineral Deposits )
Sag/Pipe Deflection
Damaged Pipe
Transition 2,(
,
Pink Copy: SEH
ti
•
Number
Correctly
• • .
Disc.harged - ..
Incorrectly Unknown
Notes i
' /
-----7
, 97
:(........,.„. ,..,,...,../- !„ , ,
: -.. +77-- 1 '
---- l
-
Total
Sump pumps
Foundation drains
Roof drains
411
City ot fikaa
Residential Sanitary Sewer Service
Compliance Inspection
Date
{),7 ) Time d arn
/d pm
2.-7) . 4,1/"A
Name) ) / i4 4
.„ Disk #02
PID Number
House Number (--- Street Name \Z<1L
Alternative Mailing Addr ess
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
Roots
4" to 6" Transition:
White Copy: Pr operty Owner
Owner/Occupant Signature
Non-Compliance
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time 6:2
pm
For information call 651.470.2788
Obstruction
Inspector Signature
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
-
sewer
O Flexible sump pump piping
L7C2±) )
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral inspection Findings Number of stacks Entered S L. at
)
Poor PipeJoints
/- -
Mineral Deposits )
Sag/Pipe Deflection
Damaged Pipe
Transition 2,(
,
Pink Copy: SEH
ti
Residential Sanitary Sewer Servic
Compliance Inspection
Date 2
Time
Disk #
Name
PID Number
House Number Street Name
Alternative Mailing Address
Owner /Occupant Signature
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
4" to 6 "Transition:
Roof drains
White Copy: Property Owner
Total
o,am
O pm
s
-L1J
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
Length of Service:
Number Discharged
Sump pumps
Foundation drains
Correctly Incorrectly Unknown
Record Number
r
Notes
vt 5.)
Time
Phone
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
O am
•
• O pm
No Access
O No one in
r
CW
Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH