1579 Sherwood Way - Inspection FormSump pumps
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1,1,/,(1,171„)
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Foundation drains
Roof drains
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Residential Sanitary Sewer Service
-` City of Eapo Compliance Inspection
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Date )t_ . ) l i
fT� Name
PID Number
Alternative Mailing Address
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: Property Owner
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Tim
Owner /Occupant Signature
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D isk # 1 —
House Number ` Street Name'fi? / 1st ..�
Phone s
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 . at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
Number Discharged
Correctly
Incorrectly
Unknown
Record Number
1 Time
•
Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Notes
f r. ( -7? 1 — i
c c.
O Access to service
lateral needed
O Inspection
refused
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O pm
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Yellow Copy: City of Eagan Pink Copy: SEH