1574 Sherwood Ct - Inspection FormCity Di hp
Residential Sanitary Sewer Service
Compliance Inspection
77
Date /( it ) /
6+ `� J
Name / r / � ! ,"* G � i ▪ Disk #
Time
P[D Number
House Number Street Name
Alternative Mailing Address
r,
/7( 19 . d
/ /I
Owner/Occupant Signature
Compliance
0 No foundation drain connection
4
No roof drain connection
i
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
White Copy: Property Owner
am
O pm
rn-
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
• O am
• O pm
/ '
Phone 1 --
Inspector Signature;'
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Unknown
Notes
� 7 ? 2 'h-0
i ce ; ! y} f, 1 /f ., ". .
. f i ' f / .
� ,7" d ��� �� '. i�'�,,„�— � f
-' f �._° . f j -
Sump pumps
Total Correctly Incorrectly
MEI
Foundation drains
Roof drains
lA
r
City Di hp
Residential Sanitary Sewer Service
Compliance Inspection
77
Date /( it ) /
6+ `� J
Name / r / � ! ,"* G � i ▪ Disk #
Time
P[D Number
House Number Street Name
Alternative Mailing Address
r,
/7( 19 . d
/ /I
Owner/Occupant Signature
Compliance
0 No foundation drain connection
4
No roof drain connection
i
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
White Copy: Property Owner
am
O pm
rn-
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
• O am
• O pm
/ '
Phone 1 --
Inspector Signature;'
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH