1562 Sherwood Way - Inspection FormSump pumps
41 L.
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Foundation drains
Roof drains
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City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
/3-
Date PA )(7 )
Name
PID Number
.?
Alternative Mailing Addr ess Phone ( ) ")
House Number
For information call 651.470.2788
Non-Compliance
O No foundation drain connection 0 Clear water connections to
sanitary sewer
0 Service lateral defects
Sump pit not connected to
0 Defective manholes
sanitary sewer
0 Sump pump connected to sanitary
O Sump pump properly piped sewer
0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Compliance
No roof drain connection
O No sump pump
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Ti ..--
am
Time •
Pm
Disk #
Street Name
)
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Owner/Occupant Signature
Length of Service:
Number Discharged
Total
Correctly
Incorrectly
m-
Unknown
Yellow Copy: City of Eagan
Record Number )
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)A
Notes
Time
Obstruction
linable to push past
feet
1
inspector Signature
Final Cleanout:
am
•
• ________O pm
f
NLII3:4v
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Pink Copy: RH