1605 Norwood Dr - Inspection FormCity el lia an
Residential Sanitary Sewer Service
Compliance Inspection
aF 4
Dater ' i ) () f )
Name " ,� r�' ,f Disk # E.
PID Number.
House Number
Alternative Mailing Address
. mow°
K,. 1'_T, Street Name
OwnerlOccupant Signature
,.. tii am
Time _ • 'c pm
Record Number
d
Phone
Time
4
Inspector Signature
Q am
O pm
)
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
'0 Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Non - Compliance
O Clear water connections CO
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:
Notes
Obstruction
Unable to push past
feet
Entered S L at
Final Cleanout:
a f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly
Unknown
Sump pumps
i
Foundation drains
MEI
Roof drains
City el lia an
Residential Sanitary Sewer Service
Compliance Inspection
aF 4
Dater ' i ) () f )
Name " ,� r�' ,f Disk # E.
PID Number.
House Number
Alternative Mailing Address
. mow°
K,. 1'_T, Street Name
OwnerlOccupant Signature
,.. tii am
Time _ • 'c pm
Record Number
d
Phone
Time
4
Inspector Signature
Q am
O pm
)
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
'0 Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Non - Compliance
O Clear water connections CO
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:
Notes
Obstruction
Unable to push past
feet
Entered S L at
Final Cleanout:
a f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH