1596 Norwood Cir - Inspection Form' City of Ed an
Residential Sanitary Sewer Service
Compliance Inspection
Date i I { /
Name - . ) /4!? I fI) Disk #
PID Number
House Number I / q_ Street Name
Alternative Mailing Address
4" to 6 "Transition:
Time •
am
pm
O Sump pump properly piped
O No sump pump
Owner/Occupant Signature
For information call 651.470.2708
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Service Lateral Inspection Findings
White Copy: Property Owner
t.
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
l T�
Phone = 7
Obstruction
0 am
•
• o pm
Final Cleanout:
- Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
) � ! - ~"
�
f
i
c ----- - 7 - 7 ,,--;-1---)( / ° f0
l
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
-
, _'
. r 4 r
Foundation drains
Roof drains
i
/------7 i
' City of Ed an
Residential Sanitary Sewer Service
Compliance Inspection
Date i I { /
Name - . ) /4!? I fI) Disk #
PID Number
House Number I / q_ Street Name
Alternative Mailing Address
4" to 6 "Transition:
Time •
am
pm
O Sump pump properly piped
O No sump pump
Owner/Occupant Signature
For information call 651.470.2708
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Service Lateral Inspection Findings
White Copy: Property Owner
t.
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
l T�
Phone = 7
Obstruction
0 am
•
• o pm
Final Cleanout:
- Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH