1587 Sherwood Way - Inspection FormSump pumps
Foundation drains
Roof drains
4 City al E,a ao
Residential Sanitary Sewer Service
Compliance Inspection
Date_ ,i
i 7»
J ,f
Name V' ` f 1/ Disk # LI 1—
PID Number
House Number ? _) r- - treet Name
Alternative Mailing Address
Owner /Occupant Sig
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
X Sump pump properly piped
O No sump pump
White Copy: Property Owner
Service Lateral Inspection Findings
4" to 6" Transition:
am
Time / O pm
Non - Compliance „ F
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
Number of stacks
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Notes
f� LJ
Obstruction
Unable to push past
feet
Entered S L. at
Final Cleanout:
• Oam
• O Pm
Phone r
Inspector Signature
For information calf 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan Pink Copy: SEH