1570 Sherwood Ct - Inspection FormSump pumps
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Foundation drains
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Roof drains
1
4111101. City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
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Date �� /: ! / Time ) • f0 pm
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Name f l1 ' , 2 Disk #
PID Number
House Number 1 2 Street Name
I
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
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 Correctly
i
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
Length of Service:
Number Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number 1
Alternative Mailing Address
9
s
Phone
� "'���
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S Lat
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Time
inspector Signature a,
Final Cleanout:
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes
1e,. • 1
1 1 e i . eyq '24-'71
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Pink Copy: SEH