1618 Sherwood Way - Inspection Form4 11 City 1)1' Ea are
Residential Sanitary Sewer Service
Compliance Inspection
}
Date I% A f 2
Names
PID Number
House Number
Alternative Mailing Address
1 / ,
Time (1--
Disk #
Owner /Occupant Signature
` } ,l
• �` QQ am
• `0 pm
Record Number
Street Name 7 I"? �•f�i
•
ri • 0 am
Time • p pm
s �
Phone/' `
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
7� �..
1 No roof drain connection
5 6 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
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.L.at
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
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
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• "_= f . 'G` //` ` ,-- F ' ' 7 } ,'-.
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/ �. --1 ` ,
Total
Sump pumps
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i / /
1 / j 4 r
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! "" I � :." y-:
Foundation drains
Roof drains 1111
--
4 11 City 1)1' Ea are
Residential Sanitary Sewer Service
Compliance Inspection
}
Date I% A f 2
Names
PID Number
House Number
Alternative Mailing Address
1 / ,
Time (1--
Disk #
Owner /Occupant Signature
` } ,l
• �` QQ am
• `0 pm
Record Number
Street Name 7 I"? �•f�i
•
ri • 0 am
Time • p pm
s �
Phone/' `
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
7� �..
1 No roof drain connection
5 6 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
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.L.at
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
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Final Cleanout:
Pink Copy: SEH