1588 Norwood Dr - Inspection FormA City a(' Ea pi
Y �
Residential Sanitary Sewer Service
Compliance Inspection
} ,/ f7)
Date )i / JE
Name
House Number
Alternative Mailing Address
4" to b" Transition:
- "a
Compliance
0 No foundation drain connection
No roof drain connection
' O Sump pit not connected to
sanitary sewer
o Sump pump properly piped
V No sump pump
White Copy: Property Owner
, ,9 1 11' Vam
Time 1 io p
Disk #
PO Number
/ , Street Name
Service Lateral Inspection Findings
s
t e
Owner /Occupant Signature
Number of stacks
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
J r
Obstruction
Unable to push past
feet
Final Cleanout:
• O am
• Opm
Phone � �_ .T7.7
Inspector Signature J N J >�:
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Corr.ectl
Discharged
Incorrectly
Unkpown
Notes
,.
Total
Sump pumps
'
�P
'3• r
c
# e 7. I
t
AI) -
Foundation drains
mi.
EOM
Roof drains
. N)
A City a(' Ea pi
Y �
Residential Sanitary Sewer Service
Compliance Inspection
} ,/ f7)
Date )i / JE
Name
House Number
Alternative Mailing Address
4" to b" Transition:
- "a
Compliance
0 No foundation drain connection
No roof drain connection
' O Sump pit not connected to
sanitary sewer
o Sump pump properly piped
V No sump pump
White Copy: Property Owner
, ,9 1 11' Vam
Time 1 io p
Disk #
PO Number
/ , Street Name
Service Lateral Inspection Findings
s
t e
Owner /Occupant Signature
Number of stacks
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
J r
Obstruction
Unable to push past
feet
Final Cleanout:
• O am
• Opm
Phone � �_ .T7.7
Inspector Signature J N J >�:
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH