1668 Norwood Dr - Inspection FormCif el Epp
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Residential Sanitary Sewer Service
Compliance Inspection
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Date_,1_ 1 ! f
Name 1
4" to 6" Transition:
White Copy: Property Owner
0 ✓ ?) O y am
Time _• pm
Disk #
PID Number #t
House Number ) ti" Y - 5 Street Name J %� `" ),A,/(2//3-7-:, ID
Alternative Mailing Address .. Phone f i
Owner /Occupant Signature
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
Service Lateral Inspection Findings
Length of Service:
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O., Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Obstruction
Unable to push past
feet
Number of stacks Entered S L.at
Yellow Copy: City of Eagan
Record Number `
0 am
•
Time • o pm
A - G l i 2 , 4 „ : / / 1 0 7 , `
Yom. .�. - ✓n�� �_ -
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1 � ---pe .� �
r
1 -' I
J Final Cleanout:
/
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
ed
Unknown
Notes
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Total
Sump pumps
Foundation drains
Roof drains
MEI
Cif el Epp
Y
Residential Sanitary Sewer Service
Compliance Inspection
t /2' }) j)
Date_,1_ 1 ! f
Name 1
4" to 6" Transition:
White Copy: Property Owner
0 ✓ ?) O y am
Time _• pm
Disk #
PID Number #t
House Number ) ti" Y - 5 Street Name J %� `" ),A,/(2//3-7-:, ID
Alternative Mailing Address .. Phone f i
Owner /Occupant Signature
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
Service Lateral Inspection Findings
Length of Service:
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O., Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Obstruction
Unable to push past
feet
Number of stacks Entered S L.at
Yellow Copy: City of Eagan
Record Number `
0 am
•
Time • o pm
A - G l i 2 , 4 „ : / / 1 0 7 , `
Yom. .�. - ✓n�� �_ -
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
1 � ---pe .� �
r
1 -' I
J Final Cleanout:
/
Pink Copy: SEH