1636 Sherwood Way - Inspection Form10111 City of Ea Ell
Residential Sanitary Sewer Service
Compliance Inspection
Date j , !' I, ' ✓
Name
House Number'
PID Number
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
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
Time f •
r' "frisk #
1
am
pm
.', Street Name ° :>
Non - Compliance
Record Number
Time
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
o am
•
• 0 p
Inspector Signature ;.\
(
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
1 3
/..__: 4'.--11//4.-'
,
Total
Sump pumps
a
f i
1
Foundation drains
MIN
/
f -
Roof drains
MEE
10111 City of Ea Ell
Residential Sanitary Sewer Service
Compliance Inspection
Date j , !' I, ' ✓
Name
House Number'
PID Number
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
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
Time f •
r' "frisk #
1
am
pm
.', Street Name ° :>
Non - Compliance
Record Number
Time
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
o am
•
• 0 p
Inspector Signature ;.\
(
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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
Final Cleanout:
Pink Copy: SEH