1467 Richards Ct - Inspection FormCity of f a au
Residential Sanitary Sewer Service
Compliance Inspection
Date. I i
it
Name
PID Number
House Number
Alternative Mailing Addr ess - Phone
OwnerlOccupant Signature
For information call 651.470.2188
Compliance
No foundation drain connection
O No roof drain connection
O 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
• _7 t' am
Time • • o pm
Disk #
Street Name
Non — Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Fagan
Record Number
Obstruction
Unable to push past
feet.
Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Time 7
Inspector Signature
g 11 pie. only
bVb - ean\i Nazi
• p am
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:'
Pink Copy: SEH
Total
Notes
-
�
''
-
f
`
i
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
pl
IM
Foundation drains
Roof drains
City of f a au
Residential Sanitary Sewer Service
Compliance Inspection
Date. I i
it
Name
PID Number
House Number
Alternative Mailing Addr ess - Phone
OwnerlOccupant Signature
For information call 651.470.2188
Compliance
No foundation drain connection
O No roof drain connection
O 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
• _7 t' am
Time • • o pm
Disk #
Street Name
Non — Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Fagan
Record Number
Obstruction
Unable to push past
feet.
Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Time 7
Inspector Signature
g 11 pie. only
bVb - ean\i Nazi
• p am
• o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:'
Pink Copy: SEH