1656 Sherwood Way - Inspection FormCity of Ea pit
Residential Sanitary Sewer Service
Compliance Inspection
Date Yl )L / !( r Timed
Name 14 Disk #
PID Number
House Number
Alternative Mailing Address
/ , '
Compliance
0 No foundation drain connection
\l
No roof drain connection
6 Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
•mod am
• pm
L
Record Number. )
Time
•
Street Name ); i.C?% !j)
o am
o pm
Phone
Inspector Signature
For information call 651.470.2788
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
Number of stacks
Obstruction
Unable to push past
feet
Entered S at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
incorrectly
Unknown
Notes
Pa /7 c � " J °'� -'7,
r l
" :? a" f 1
;' Y - . . - '.1 f ` �" ( - _f , , , : r f;) -•
1
Total
Sump pumps
/
Foundation drains
11111
®-
Roof drains
.-�
City of Ea pit
Residential Sanitary Sewer Service
Compliance Inspection
Date Yl )L / !( r Timed
Name 14 Disk #
PID Number
House Number
Alternative Mailing Address
/ , '
Compliance
0 No foundation drain connection
\l
No roof drain connection
6 Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
•mod am
• pm
L
Record Number. )
Time
•
Street Name ); i.C?% !j)
o am
o pm
Phone
Inspector Signature
For information call 651.470.2788
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
Number of stacks
Obstruction
Unable to push past
feet
Entered S at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH