3577 Woodland Ct - Inspection FormCity ofd p
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 f (1 1 / c• Time • / tp n
Name !!J %.J�i,�? /1 3 J Disk#
PID Number
Owner /Occupant Signature
Compliance
Q 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
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
White Copy: Property Owner
House Number 7 7 Street Name } ..z'° _/) l '
Non - Compliance
O Clear wateF:;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:
Yellow Copy: City of Eagan
Record Number
Time
For information call 651.470.2788
Obstruction
Unable to push past
feet
•
•
Alternative Mailing Address / Phone /.ZT 99
i 7 f f .�
!!! / j
..y!- -/
;Is ector Signature
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
0 am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes y
' ,
) ,. , /..} 0 " r
ms's. _- f : , -J
dr> /7 - 2,74 0: 11 ..-- ,
� f
- �
Total
Sump pumps
IIIII
Foundation drains
MEI
Roof drains
City ofd p
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 f (1 1 / c• Time • / tp n
Name !!J %.J�i,�? /1 3 J Disk#
PID Number
Owner /Occupant Signature
Compliance
Q 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
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
White Copy: Property Owner
House Number 7 7 Street Name } ..z'° _/) l '
Non - Compliance
O Clear wateF:;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:
Yellow Copy: City of Eagan
Record Number
Time
For information call 651.470.2788
Obstruction
Unable to push past
feet
•
•
Alternative Mailing Address / Phone /.ZT 99
i 7 f f .�
!!! / j
..y!- -/
;Is ector Signature
Service Lateral Inspection Findings Number of stacks Entered S.L at
Roots
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
0 am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Sump pumps
• '_'
> > i ::z
i
I. i
Foundation drains
Roof drains
City of lia u
Residential Sanitary Sewer Service
Compliance Inspection
Date `-
Name r . -V= ) ( Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
t
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition r
4" to 6 " Transition: /
White Copy: Property Owner
.4 sOam
Time,- • / pm
Street Name
Owner /Occupant Signature
IMMIZ
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 , ") Entered S L,at f k':
Length of Service:
Time
• p pm
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
L?4J
Phone l 1 f - a - L4 -"
Obstruction
Unable to push past
feet
_ 3 .
( 7/
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes
f
f
Yellow Copy: City of Eagan Pink Copy: SEH
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