1643 Norwood Ct - Sanitary Sewer FormSum pumps
Sump P p
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Foundation drains
Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
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Date I( .-Y,,,,. <� ;1 ( I • Time
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Name i 2 . /�T 1 ' , � . Disk #
PID Number
House Number Vi l , Street Name
Alternative MailingAddress
Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
9 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
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Non - Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection _
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Number Discharged
Total
Correctly
Length of Service:
Incorrectly
L UJ
Unknown
Record Number 1 t !
L i Time
Phone
3)7
Obstruction
Unable to push past
feet
Inspector Signature ., �� i ce /
Entered S at
Notes
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Final Cleanout:
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Oam
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No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH