1667 Sherwood Way - Inspection FormSump pumps
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Foundation drains
Roof drains
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City of hapo
Residential Sanitary Sewer Service
Compliance Inspection
/7 /5
Date 17 /
Name
PID Number
House Number
Street Name
Alternative Mailing Address Phone
For information call 651.470.2788
Compliance
0 No foundation drain connection
L ;
Ck No roof drain connection
/
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
03(' No sump pump
y. q am
Time • ."O prfl
Owner/OCcopant Signature
Disk #
Non-ComplianceN
O Clear water coniAtiOns 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
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Total
Number Discharged
Correctly
Length of Service:
incorrectly
Unknown
White Copy: Propel ty Owner
Record Number
O a
•
Time • 0 pm
Notes
inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
-20) ;,6"
c-/cY)0(itht
Yellow Copy: City of Eagan Pink Copy: SEH