1644 Norwood Ct - Inspection FormFoundation drains
Roof drains r
411111 City of Evil
Residential Sanitary Sewer Service
Compliance Inspection
Date f / ;1 ' 1 Time• )6
pm
Name /l Disk # I i
P1D Number
House Number '° )- ' Street Name
Alternative Mailing Address
OwnerlOccupanttSig ature
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: Proper ty Owner
Non - Compliance
O
O
O
O
O
SaglPipe Deflection
Damaged Pipe
Transition
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Length of Service:
Record Number
Time
•
• O p
Phone ( ) 2--17
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L. at
Notes
Final Cleanout:
s r
0 am
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Yellow Copy: City of Eagan Pink Copy: SEH
Number D
Discharged
Total C
Correctly I
Incorrectly U
Unknown
Sump pumps f
f 3
3: ' 1
1
411111 City of Evil
Residential Sanitary Sewer Service
Compliance Inspection
Date f / ;1 ' 1 Time• )6
pm
Name /l Disk # I i
P1D Number
House Number '° )- ' Street Name
Alternative Mailing Address
OwnerlOccupanttSig ature
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: Proper ty Owner
Non - Compliance
O
O
O
O
O
SaglPipe Deflection
Damaged Pipe
Transition
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Length of Service:
Record Number
Time
•
• O p
Phone ( ) 2--17
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L. at
Notes
Final Cleanout:
s r
0 am
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Yellow Copy: City of Eagan Pink Copy: SEH