1635 Norwood Dr - Inspection Form1.
cal of Fa
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
'
4" to 6 "Transition:
Alternative Mailing Address
White Copy: Property Owner
.0 am
Time f. • ii Pm
Disk #
Street Name
OwnerlOccupant Signature
e i
I\ I, = )A
For information call 651.470.2788
Compliance
‘ O, No foundation drain connection
I
0 No roof drain connection
O Sump pit not connected to
sanitary sewer/4 -) C. W .r'
O Sump pump properly piped
O No sump pump
Non Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Obstruction
Unable to push past
feet
Entered SL.at
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
Total
Notes
r
7
:,:- ' ,,,,,
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
1 I
Roof drains
1.
cal of Fa
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
'
4" to 6 "Transition:
Alternative Mailing Address
White Copy: Property Owner
.0 am
Time f. • ii Pm
Disk #
Street Name
OwnerlOccupant Signature
e i
I\ I, = )A
For information call 651.470.2788
Compliance
‘ O, No foundation drain connection
I
0 No roof drain connection
O Sump pit not connected to
sanitary sewer/4 -) C. W .r'
O Sump pump properly piped
O No sump pump
Non Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Obstruction
Unable to push past
feet
Entered SL.at
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