1581 Sherwood Ct - Inspection Form41110-
City of liaao
Residential Sanitary Sewer Service
Compliance Inspection
Date )/1/ / L
A
Name
ND Number
House Number
Alternative Mailing Address
4" to 6"Transition:
,
Compliance
O No foundation drain connection
, No roof drain connection
• Sump pit not connected to
/l sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Disk #
Street Name
,-- Signbture
rii
Phone () X'
- /9
— (
For information call 651.470.2788
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
Service Lateral Inspection Findings 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 /
fl
Time
Inspector Signature
Obstruction
Unable to push past
feet.
0 am
•
• 0 pm
J 4—
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Unknown
Notes
)
i
i
''.--- ' - ,",: - 4-.-'"? ' (,....,' " „,..,..--....;
-- ..•
''' /
, ) (-- ,, ----
Total
Correctly
Incorrectly
Sump pumps
4' L
-- -
` 1 ' 1..!
..17) 1 ..---r...
i .. e..--4 V . 1'
Foundation drains
1
)
Roof drains
47"---
41110-
City of liaao
Residential Sanitary Sewer Service
Compliance Inspection
Date )/1/ / L
A
Name
ND Number
House Number
Alternative Mailing Address
4" to 6"Transition:
,
Compliance
O No foundation drain connection
, No roof drain connection
• Sump pit not connected to
/l sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
Disk #
Street Name
,-- Signbture
rii
Phone () X'
- /9
— (
For information call 651.470.2788
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
Service Lateral Inspection Findings 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 /
fl
Time
Inspector Signature
Obstruction
Unable to push past
feet.
0 am
•
• 0 pm
J 4—
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH