4236 Sandstone Dr - Inspection FormCity of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date_ /
Name '/ , ,
PID Number
House Number T'" ; ' Street Name
Alternative 1ailingAddress
V Disk#
f
- ;7
Owner /Occupant Signature
Compliance
No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
b Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
am
Time - • O pm
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
Yellow Copy: City of Eagan
Record Number /
Length of Service:
•
Time y •
j 1 /
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L. at
Final Creanout:
irk ` 7V
r; J,
am
For information call 651.470.2788
No Access
O No one in
O Access/to service
laterarrieeded
O Inspection
refused
Pm
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SE H
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
Total
Sump pumps
Foundation drains
Roof drains
,` -'
--
f•_r l
City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date_ /
Name '/ , ,
PID Number
House Number T'" ; ' Street Name
Alternative 1ailingAddress
V Disk#
f
- ;7
Owner /Occupant Signature
Compliance
No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
b Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
am
Time - • O pm
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
Yellow Copy: City of Eagan
Record Number /
Length of Service:
•
Time y •
j 1 /
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L. at
Final Creanout:
irk ` 7V
r; J,
am
For information call 651.470.2788
No Access
O No one in
O Access/to service
laterarrieeded
O Inspection
refused
Pm
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SE H