1582 Sherwood Way - Inspection Form4. 111. City of liag,an
Residential Sanitary Sewer Service
Compliance Inspection
)
Date (
Name R / / Disk #
PID Number
House Number
Alternative Mailing Address
) e2
Street Name
•••
Owner/Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
' sanitary sewer.
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6"Transition:
White Copy: Pi opei ty Ownei
N.1
am
Time • "6 pm
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
EL
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
Record Number — " ;
Time
Phone
Inspector Signature „XI )
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered SL at
Final Cleanout:
Om
•
• 0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes
......
,
' , - --•
;
....., .
_......_
„
Number
Discharged
Correctly
Incorrectly
Unknown
S ump pumps
, , ,
- )-,---_-
/1
• .."'.; .1
? ,
s''''' •
I
. f c' 7
'
Foundation drains
Roof drains
•..,..--\
.
4. 111. City of liag,an
Residential Sanitary Sewer Service
Compliance Inspection
)
Date (
Name R / / Disk #
PID Number
House Number
Alternative Mailing Address
) e2
Street Name
•••
Owner/Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
' sanitary sewer.
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6"Transition:
White Copy: Pi opei ty Ownei
N.1
am
Time • "6 pm
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
EL
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
Record Number — " ;
Time
Phone
Inspector Signature „XI )
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered SL at
Final Cleanout:
Om
•
• 0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH