3507 Thorwood Ct - Inspection FormCity of Ja an
Residential Sanitary Sewer Service
Compliance Inspection
1 fl
Datev0f 1 1 1 0
Name P P Disk #
• am
Time • � O pm
PID Number
House Number Street Name
Alternative Mailing Address/ J J
( ; ,)
White Copy: Proper ty Owner
OwnerlOcc4ant Signature
Compliance
A ▪ No foundation drain connection
S , No roof drain connection
9 k Sump pit not connected to
sanitarysewer
0 Sump pump properly piped
No sump pump No piyfi
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
FEE
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
Time
Phone" 7
For information call 65 2788
P ai Asa• F c, 0
4" to 6 "Transition: "; o 2 0 C Length of Service: 12c "
,
Inspector $ignature
Obstruction
Unable to push past
feet
Notes
1 1 j • µ Darr:
' + 'd pm
No Access
O No one in
O Access. =to service
lateral needed
O inspection
refused
Number of stacks Entered S L at S.6 114 ,y P,( 'c, c
Final Cleanout: Ga0
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Nu mber
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
" 131A`
.L kic
° 14.,1)
ruNT
Of:A[1 Of [ 11
No HP__
F
Foundation drains
(Th
Roof drains
+u
City of Ja an
Residential Sanitary Sewer Service
Compliance Inspection
1 fl
Datev0f 1 1 1 0
Name P P Disk #
• am
Time • � O pm
PID Number
House Number Street Name
Alternative Mailing Address/ J J
( ; ,)
White Copy: Proper ty Owner
OwnerlOcc4ant Signature
Compliance
A ▪ No foundation drain connection
S , No roof drain connection
9 k Sump pit not connected to
sanitarysewer
0 Sump pump properly piped
No sump pump No piyfi
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
FEE
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
Time
Phone" 7
For information call 65 2788
P ai Asa• F c, 0
4" to 6 "Transition: "; o 2 0 C Length of Service: 12c "
,
Inspector $ignature
Obstruction
Unable to push past
feet
Notes
1 1 j • µ Darr:
' + 'd pm
No Access
O No one in
O Access. =to service
lateral needed
O inspection
refused
Number of stacks Entered S L at S.6 114 ,y P,( 'c, c
Final Cleanout: Ga0
Yellow Copy: City of Eagan Pink Copy: SEH