1639 Sherwood Way - Inspection FormSump pumps
Foundation drains
Roof drains
City of Fa are
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name ° 1i " Disk#
PID Number
House Number
O No sump pump
Poor Pipe Joints
Transition
s . .
4" to 6 "Transition:
I { ! Street Name
Owne /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped , f
w1
Total
Correctly
am
Pm
I norrectly
Alternativ Mailing Address
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
Length of Service:
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
•' l/� �F�� !r � it - `" �'T e'._. - ri / t �
1
�
Number Discharged
White Copy: Property Owner
Yellow Copy: City of Eagan
- �.
Record Number 1
Time
2,417? 7? /7
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Notes
• D am
• O pm
- / %
Final Cleanout:
Unknown
3,
�� jar f:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
'4 ;4 e
Pink Copy: SEH