1583 Sherwood Way - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City [II ;a au
Residential Sanitary Sewer Service
Compliance Inspection
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Date 1 . i
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Name t
House Number
PID Number
OwnerlOctupant Signature
Street Name
Alternative Mailing Addr ess Phone � ° ) A
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For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
i X Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Total
6i' 9 am
Time p
Disk #
IMMO
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
Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Record Number
Notes
t' 3
J
Obstruction
Unable to push past
feet
Ins ctor Signature � � -- ))/1
Time
O am
•
• O pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH