1580 Sherwood Ct - Inspection FormSump pumps
Foundation drains
Roof drains
1 .
- City of Cavil
Residential Sanitary Sewer Service
Compliance Inspection
Date ( ; / / 1 � Time
Name a. O �''i J 1 /1 # 1
•
1 1 1t , ✓ , 711
'r �It
y awner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
i
Sump pit not connected to
/ sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Total
am
•-_-O pm
AID Number
House Number ! '7( j Street Name
Alternative Mailing Address / t
1
Number Discharged
Correctly
L
Incorrectly Unknown
Yellow Copy: City of Eagan
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
Record Number
Time
1 ' " ? 1 1 ?A /0 - -
Phone
Length of Service: Final Cleanout:
Notes
O am
•
• O pm
Obstruction No Access
Unable to push past 0 No one in
feet O Access to service
lateral needed
0 Inspection
refused
For information call 651.470.2788
Inspector Signature j \ 1
Service Lateral Inspection Findings Number of stacks _ Entered S at
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH