1612 Sherwood Way - Inspection FormSump pumps
Foundation drains
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Roof drains
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411 City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date 1` 1..�
Name
!>
House Number / r.1�
Alternative Mailing Address
■
Compliance
O No foundation drain connection
4
No roof drain connection
Sump pit not connected to
sanitary sewer'
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
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White Copy: Property Owner
Time • 0 pm
Disk#
PID Number'
Street Name
OwnerlOcctrpant Signature
Non-Compliance
Total Correctly Incorrectly Unknown
Number Discharged
Record Number
Time
Phone 7
Inspector Signature j \:1
For information call 651.470,2788
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
O am
•
• Opm
No Access
O No one in
Service Lateral inspection Findings Number of stacks Entered S L.
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
Notes
O Access to service
lateral needed
O Inspection
refused
Mr?P j a/0
Yellow Copy: City of Eagan Pink Copy: SEH
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