1662 Norwood Dr - Inspection FormResidential Sanitary Sewer Service
City of ha o Compliance Inspection
Date % 1 ) ); / !C)
T m-
Name _r ° !. � % t Disk #
PID Number
House Number
Alternative Mailing Address Phone f ; ---) 2
For information call 651.470.2788
4
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
4" to 6 "Transition:
White Copy: Property Owner
l
OwnerlOccupant Signature
'')
I i o n am
Pm
Time •
Street Name
Non - Compliance
O Clear. water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
S Sump pump connegtedi to sanitary
sewer
At Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
[ 0 � am
Time _ • o pm
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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
i l
:=
1 �
t'
i 2--) - c_ f/: `,'! /
° 1? {/ '' _ G. , % ' ✓.,_ �f J
' . rte'. ' r"_lc_. fir:
Total
Sump pumps
ii 1
- r
Foundation drains
j
.s --r ?e
, 'c 1 - l
Roof drains
1}
r ' ' c
3
' %N
� ....,: =.� r
,
Residential Sanitary Sewer Service
City of ha o Compliance Inspection
Date % 1 ) ); / !C)
T m-
Name _r ° !. � % t Disk #
PID Number
House Number
Alternative Mailing Address Phone f ; ---) 2
For information call 651.470.2788
4
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
4" to 6 "Transition:
White Copy: Property Owner
l
OwnerlOccupant Signature
'')
I i o n am
Pm
Time •
Street Name
Non - Compliance
O Clear. water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
S Sump pump connegtedi to sanitary
sewer
At Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
[ 0 � am
Time _ • o pm
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
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH