1500 Sherwood Way - Inspection Form,-,,,
1,
Number Discharged
Correctly I ncorr ectly
11111111111111
Unknown
Notes
1 11 C
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,
5
/ vC•1 i ii,',-,.,v6p ,./ . „,(,..-, ,,,e
4 l
i
j
,
Total
Sump pumps
I
Foundation drains
1111
Roof drains
..,
....—__—_.........,...--,....___.,
■
•••■••••■■5:
40. City E Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date r/i/ /
Name c; /
PID Number
House Number
7,
•
i•
Compliance
0 No foundation drain connection
fa roof drain connection
1 0:,,Sump pit not connected to
\`. sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
Owner/Occupant Signature
iv' ) 4
White Copy: Property °wri
zy • 0 am
Time c f. 17 ,
";:• Disk #
Street Name
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:
Yellow Copy: City of Eagan
Record Number
Alter native Mailing Address
. •
•
Time
Phone
Obstruction
Unable to push past
feet
0 am
• "j 'C P
inspector Signature
For information call 651.470.2788
Number of stacks . Entered S L at
Service Lateral Inspection Findings,
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition L I l l;"; ( ,/(;
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH