1678 Norwood Dr - Inspection FormSump pumps
--
Foundation drains
/
Roof drains
()
Residential Sanitary Sewer Service
41 City o Compliance Inspection
Date ,-•
I
Name 2 Pl-d-3
PID Number
House Number I
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
Time )
Disk II
Altern4ye Mailing Address
I \
)
Owner/Occupant Signature
Service Lateral Inspection Findings
OC:-2:2) al
• P M
• A Street Name
1
For information call 651.470.2788
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 Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Time
4 —
4/1
Obstruction
Unable to push past
feet
•
•
Length of Service: Final Cleanout:
1 7
O am
O pm
Phone
inspector Signature
) i f
No Access
O No one in
O Access to service
lateral needed
C Inspection
refused
Notes
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Yellow Copy: City of Eagan Pink Copy: SEH