1640 Norwood Dr - Inspection FormSump pumps
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Foundation drains
Roof drains
4101 Gil of LIE]
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Residential Sanitary Sewer Service
Compliance Inspection
Date
Name f
P1D Number
House Number
Alternative_Mailing Address
For information call 651.470.2788
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
4" to 6 "Transition:
White Copy: Property Owner
Total
r
Time •
-7 Disk#
/J t /
Street Name
OwnerlCccupant Signature
O
O
O
O
O
am
pm
Non - Compliance
. `)(9 / �
� ��r
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Record Number
Time
Obstruction
Unable to push past
feet
O am
•
• Opm
7-2 r—) S it 3
Phone /?�
inspector Signature \ ) 14
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings 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
Yellow Copy: City of Eagan
Ncites
Final Cleanout:
Pink Copy: SEH