1563 Sherwood Ct - Inspection FormSump pumps
., - ?ia.
' ft
i d'
�; f �
Foundation drains
Roof drains
' ;
City of Fagg
Residential Sanitary Sewer Service
Compliance Inspection
Date l ;! -- /
1
Name �° l iy J Disk #
PID Number
�t
House Number ) , Street Name
Alternative Mailing Address
OwnerlOccupant 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
•
•'.ice am
Time pm
L
Total Correctly Incorrectly Unknown
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
Number Discharged
Yellow Copy: City of Eagan
Record Number
Time
A /<_""),./.
Phone r 1 F . �� - 4
V
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
Length of Service: Final Cleanout:
• O am
• O pm
om
1
.‘,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes
Pink Copy: SEH