1611 Norwood Dr - Inspection FormSump pumps
Foundation drains
Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date 1, y �
: 7 to' W am
Time IP- - - - 0 pm
Name
PID Number
House Number Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Transition
4" to 6 "Transition:
White Copy: Property Owner
Total
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
0 r
Flexible sump pump piping
Number Discharged
Correctly
Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Notes
Time
Inspector Signature
Obstruction
Unable to push past
feet
f
O am
•
• O pm
Phone { �#
4 ) _J /)
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Service Lateral Inspection. Findings Number of stacks Entered S Lat
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
E i n
Length of S er`vi e Final Cleanout:
" °,
Pink Copy: SEH