1635 Sherwood Way - Inspection FormSump pumps
Foundation drains
'
Roof drains
,�.
' Y Eta '`Ci1 of
Residential Sanitary Sewer Service
Compliance Inspection
Date i/ it , f ! l
,
Name r I ,n h
PID Number
House Number / ' D Street Name
'r
Alter Mailing Add ess
■
Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe � i; `�
Transition
4" to 6 "Transition:
Total
7 ,). - O am
Time / i• '0 pm
Disk #
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
Correctly
Number of stacks Entered S. L at
Length of Service:
Number Discharged
Incorrectly
Unknown
White Copy: Property Owner
Record Number
Time
Obstruction
Unable to push past
feet.
•
•
•
O am
O pm
Phone ! _ ) C_.; - ( 7 /
inspector Signature 2` . fi.�Iarr
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Notes
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i ' i s mac
Yellow Copy: City of Eagan Pink Copy: SEH