1597 Sherwood Way - Inspection FormSump pumps
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Foundation drains
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Roof drains
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4 City of Fa p
Residential Sanitary Sewer Service
Compliance Inspection
Date JO P1 r 1
.,
House Number
Compliance
0� No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
am
Time i }}
0 •— O pm
Name/ - , r Ir % "1 Disk #
PIED Number
E
LLB -(T]
Street Name = o :) 1 / ✓?
Alternative Mailing Address
OwnerlOccupant 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
Service Lateral Inspection Findings Number of stacks Entered S L,at
Roots
PoorPipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Total
Number Discharged
Correctly
Incorrectly Unknown
White Copy: Property Owner
Length of Service: Final Cleanout:
Yellow Copy: City of Eagan
Record Number
Time
y '/r i "1,/,
Phone tG✓ I /0'
Obstruction
Unable to push past
feet
Notes
Inspector Signature
•
• Oam
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH