1593 Sherwood Way - Inspection Form4 1111 ' . . City of Era an
Residential Sanitary Sewer Service
Compliance inspection
Date f
Name . � f , �.' g a � � Disk#
. 7
PID Number
House Number
Alternaylve Mailing Address
1
,ff
7,
f
Owner /Occupa , Srgnature
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
Time
:Street Name
am
• 6 pm
-L
•
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number ? `" ^
Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
• Q am
• Q pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered St at
Pink Copy: SEH
Total
Notes
-.. . �t
e
r'
j,
/-,
7.
�_
.�'
...-. t
Number
Discharged
Correctly
,Incorrectly
Unknown
Sump pumps
= , `,
r
! , te
Foundation drains
Roof drains
4 1111 ' . . City of Era an
Residential Sanitary Sewer Service
Compliance inspection
Date f
Name . � f , �.' g a � � Disk#
. 7
PID Number
House Number
Alternaylve Mailing Address
1
,ff
7,
f
Owner /Occupa , Srgnature
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
Time
:Street Name
am
• 6 pm
-L
•
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number ? `" ^
Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
• Q am
• Q pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered St at
Pink Copy: SEH