1672 Sherwood Way - Inspection FormSump pumps
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Foundation drains
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Roof drains
11011. Cit of E,a an
Residential Sanitary Sewer Service
Compliance inspection
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Date !1 i 5 I Time 3 ; • / p
Name IV _ �f J/2 / - ! / Disk #
PID Number
... ) 1
House Number 3 • f :.' Street Name F ( ),.k - .- ; 1 _ •
Alternative Mailing Address Phone:` - . 1 "�'2'm') r e f - ' , %7
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For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
1 /
It" y v
Owner /occupant Signature
-LE-71
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
Total Correctly Incorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Time
N otes
rte• ✓r- - " 7".� 4
inspector Signature
Obstruction
Unable to push past
feet.
Final Cleanout:
O am
•
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No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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Pink Copy: SEH