1623 Norwood Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date)! / -
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Name ) n % 7-7 ; mo (- i'tisk #
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PID Number
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House Number;, _
Compliance
O No foundation drain connection
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No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
4" to 6" Transition:
White Copy: Property Owner'
Time
Owner /Occupant Signature
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Street Name I ,} / ) r .',,; `- )
Alternative Mailing Address
Record Number
Time
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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
Number of stacks
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Obstruction
Unable to push past
feet,
Entered S L. at
Notes
Inspector Signature
Final Cleanout:
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• O pm
A/ 71y
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
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Yellow Copy: City of Eagan Pink Copy: SEH