1628 Norwood Dr - Inspection Form. • City or Ea
Residential Sanitary Sewer Service
Compliance Inspection
Date A/ 21,-4%4' Li
Name "- Disk # 1
PID Number
{.7
House Number Street Name
Alternative Mailing Addr ess
4
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time
0 pm
Non-Compliance
0
0
Clear. water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
c
Record Number T
Time
Phone-
Obstruction
Unable to push past
feet.
•
• o
)
Inspector Signature 1\
For information call 651.470.2788
Final CI eanout:
N •-
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
4
Number Discharged
Unknown
Notes
, z::::' - 2.-f 3 .7 - ' , . 4/ 2---
,:;:
2
-,› i
L.-- <.":1
- i
Total
Correctly
Incorrectly
Sump pumps
4
,—(..
- -).,:;-; ---: r
; ria 77-2
/ i- ' 4
...'
Foundation drains
/ i" /.-
i- —
Roof drains
t, )
V
. • City or Ea
Residential Sanitary Sewer Service
Compliance Inspection
Date A/ 21,-4%4' Li
Name "- Disk # 1
PID Number
{.7
House Number Street Name
Alternative Mailing Addr ess
4
Owner/Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time
0 pm
Non-Compliance
0
0
Clear. water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
c
Record Number T
Time
Phone-
Obstruction
Unable to push past
feet.
•
• o
)
Inspector Signature 1\
For information call 651.470.2788
Final CI eanout:
N •-
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
4