1617 Norwood Dr - Inspection Formco of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
)
Date A / iC-
N
, 1 A
se P 1
g
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
V)rDisk
am
Time e.:7--) • pm
PID Number
House Number Street Name
) 4
Alternative Mailing Addr ess Phone
4,v
OwnerlOccupant%ignature
For information call 651.470.2788
Compliance
O No foundation drain connection
Non
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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
White Copy: Pi opeity Ownei
Yellow Copy: City of Eagan
Record Number
• Qrn
Time •
Obstruction
Unable to push past
feet
inspector Signature I
) 1
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
No tes
1.---,
/ t.....- ,) - .25/ 1 ; r:.--7 1 / 11 - - ---:;
7 l --
' c...... „..-,----.._ e 4 - -- /v', -e..--' ,i 4:::,...-
,,`,•.-- • r • L-' C.-- : CI, irt
• ii
- -,...7,/,, : /./ f
Total
Sump pumps
1
..„L I
... . 4 . - - ' . '
....-- ,--,---",-) (i
• - r -
"r"
Foundation drains
Roof drains
, „, .,, __.<,,:„„,,
,-; 4 Or
co of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
)
Date A / iC-
N
, 1 A
se P 1
g
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
V)rDisk
am
Time e.:7--) • pm
PID Number
House Number Street Name
) 4
Alternative Mailing Addr ess Phone
4,v
OwnerlOccupant%ignature
For information call 651.470.2788
Compliance
O No foundation drain connection
Non
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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
White Copy: Pi opeity Ownei
Yellow Copy: City of Eagan
Record Number
• Qrn
Time •
Obstruction
Unable to push past
feet
inspector Signature I
) 1
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH