1511 Sherwood Way - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
City of a f
Date 07 Ic7c7 / /c.]
Name
PID Number
House Number / /
Alternate, Mailing Address
Compliance
• No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
o No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection 7 '7
Damaged Pipe _
Transition
E_ T
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
Owner /Occupant 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
o am
o pm
Street Name
For Information call 659.470.2788
Number of stacks 2
03 3(. , 5 - 71
ft tit
Z.5=
Length of Service: I )S 1 Final Cleanout: l -C
Number Discharged
Surnp Pumps
Foundation Drains
Roof Drains
Total
Correctly Incorrectly Unknown
Record Number P 3 # S
Inspector Signature
Obstruction
Unable to push past
feet.
Notes
Time
Phone -
Entered S.L at
o am
O pm
I ,1
No Access
o No one in
O Access to service lateral
needed
o Inspection refused
c rc�
Yellow Copy: City of Eagan Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551