1569 Sherwood Ct - Inspection Form41 , 11 '. City of liapo
Residential Sanitary Sewer Service
Compliance Inspection
` r r'
Date /1 /
1/�
Name . i � w °? / r C.:/ Disk #
PT 1
RID Number
1
House Number
Alternative Mailing Addess
4: '•? ,
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
f
sanitary sewer
O Sump pump properly piped
O No sump pump
0•C ''0✓ am
Time L • pm
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
Street Name _ � °� �1 )..1
Length of Service:
Yellow Copy: City of Eagan
Record Number
•
o am
Time _ • p pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered SI at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
r
Total
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
✓4
Y
Foundation drains
Roof drains
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41 , 11 '. City of liapo
Residential Sanitary Sewer Service
Compliance Inspection
` r r'
Date /1 /
1/�
Name . i � w °? / r C.:/ Disk #
PT 1
RID Number
1
House Number
Alternative Mailing Addess
4: '•? ,
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
f
sanitary sewer
O Sump pump properly piped
O No sump pump
0•C ''0✓ am
Time L • pm
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
Street Name _ � °� �1 )..1
Length of Service:
Yellow Copy: City of Eagan
Record Number
•
o am
Time _ • p pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered SI at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
r