1629 Norwood Dr - Inspection FormCity of Ea
y afl �
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
Q
House Number
Alternative Mailing Address
r
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
/
Time a •pm
Disk #
PID Number.
Street Name
Owner /dccuport Signature
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
r
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
LL]
Record Number
Time
Phone
inspector Signature
Obstruction
Unable to push past
feet.
Number of stacks Entered S,L at
Final Cleanout:
O am
•
• O pm
No Access
O No one in
r
`L? ;1'....1 r _d '°^ (,^, -_...
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
O Access to service
lateral needed
O Inspection
refused
r
Pink Copy: SEH
.
Sump pumps
4
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Foundation drains
drains
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v Roof
City of Ea
y afl �
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
Q
House Number
Alternative Mailing Address
r
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
/
Time a •pm
Disk #
PID Number.
Street Name
Owner /dccuport Signature
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
r
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
LL]
Record Number
Time
Phone
inspector Signature
Obstruction
Unable to push past
feet.
Number of stacks Entered S,L at
Final Cleanout:
O am
•
• O pm
No Access
O No one in
r
`L? ;1'....1 r _d '°^ (,^, -_...
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
O Access to service
lateral needed
O Inspection
refused
r
Pink Copy: SEH