1564 Sherwood Ct - Inspection FormSump pumps
/ A
Foundation drains
Roof drains
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4 1 ' . Cit of Ea pi
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Residential Sanitary Sewer Service
Compliance Inspection
Date I
Name _) .mss
PID Number
House Number' / ` °) ( V2 Street Name
4" to 6" Transition:
White Copy: Property Owner
eL: - B ern
Time ' • 'a Pry
= --, f Disk #
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Total Correctly
LEI
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:
Number Discharged
Incorrectly Unknown
Record Number - 1
Time
Alternative Mailing Address Phone J'+ "r i
Notes
i /
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
p am
•
• p Pm
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 PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan Pink Copy; SEH