1609 Norwood Dr - Inspection Form' ` Cit a1' Ea
City p. ate
Residential Sanitary Sewer Service
Compliance Inspection
i ..' } I
Date 1 it t 1
Name
Alternative Mailing Address
Transition
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
Time` = --
Service Lateral Inspection Findings
"tv17 -1 1)!' Disk
PID Number
House Number a` ,f Street Name
wr erl(tccupant Signature
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
1
! r
! ✓ 4
• b pm
i-r_1-ELJ
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Number of stacks Entered S „L,at
Length of Service:
�JA
Yellow Copy: City of Eagan
Record Number
Time
o
Phone -) I -
Obstruction
Unable to push past
feet
•
Inspector Signature
Final Cleanout:
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
/
Number
Correctly
,,/ fj� .
Notes
Discharged
Total
Incorrectly
r � �)
f
Unknown
f �%�
r 4.-
i f 1 , ! ,'ter 7. ■
L:; I /'-. . / _
4
Sump pumps
-
Foundation drains
— _1°'� ,
f; - ."?
A
-,_� c l
Roof drains
/ "'
' ` Cit a1' Ea
City p. ate
Residential Sanitary Sewer Service
Compliance Inspection
i ..' } I
Date 1 it t 1
Name
Alternative Mailing Address
Transition
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
Time` = --
Service Lateral Inspection Findings
"tv17 -1 1)!' Disk
PID Number
House Number a` ,f Street Name
wr erl(tccupant Signature
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
1
! r
! ✓ 4
• b pm
i-r_1-ELJ
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Number of stacks Entered S „L,at
Length of Service:
�JA
Yellow Copy: City of Eagan
Record Number
Time
o
Phone -) I -
Obstruction
Unable to push past
feet
•
Inspector Signature
Final Cleanout:
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH