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2120 Carnelian Lane - Inspection Form
City of Ia�a Residential Sanitary Sewer Service Compliance Inspection Date : 1 4.9 Name L 1 ' t (7//4/274 # PJD Number House Number Alternative Mailing Address f`. / 17. iO Sump pit not connected to sanitary sewer • Sump pump properly piped 0 No sump pump 4" to 6 " Transition: tJ; White Copy: Property Owner � : %> ©' am Time �� p Street Name Owner /Occupant Signature Compliance No foundation drain connection O` No roof drain connection Service Lateral Inspection Findings Roots f . ... • 7 d./ • \ • 7 • I" % ' • .) 1 0 • 7 Number of stacks 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 f. ': - ' /`,_? / Length of Service: /'`I Yellow Copy: City of Fagan Record Number - Entered S. L. at r^' o am Time • r • ._.-' _s k"?° pm Phone %:' 2 '6 ' ' - 2 Inspector Signature For information call 65 .470.2788 Obstruction Unable to push past feet Poor PipeJoints Mineral Deposits Sag /Pipe Deflection 1 ' ' ✓ r4 '- A i Damaged Pipe ~ ' i7 Transition '`[ ; V j / / 1 Final Cleanout: , %v1' No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SEH Total Notes 71 ! J ,e ` ,_. � , -� `; .:, , , • .r, Number Discharged Correctly Incorrectly Unknown Sump pumps Foundation drains { ''S . __._..._ °- Roof drams J) City of Ia�a Residential Sanitary Sewer Service Compliance Inspection Date : 1 4.9 Name L 1 ' t (7//4/274 # PJD Number House Number Alternative Mailing Address f`. / 17. iO Sump pit not connected to sanitary sewer • Sump pump properly piped 0 No sump pump 4" to 6 " Transition: tJ; White Copy: Property Owner � : %> ©' am Time �� p Street Name Owner /Occupant Signature Compliance No foundation drain connection O` No roof drain connection Service Lateral Inspection Findings Roots f . ... • 7 d./ • \ • 7 • I" % ' • .) 1 0 • 7 Number of stacks 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 f. ': - ' /`,_? / Length of Service: /'`I Yellow Copy: City of Fagan Record Number - Entered S. L. at r^' o am Time • r • ._.-' _s k"?° pm Phone %:' 2 '6 ' ' - 2 Inspector Signature For information call 65 .470.2788 Obstruction Unable to push past feet Poor PipeJoints Mineral Deposits Sag /Pipe Deflection 1 ' ' ✓ r4 '- A i Damaged Pipe ~ ' i7 Transition '`[ ; V j / / 1 Final Cleanout: , %v1' No Access O No one in O Access to service lateral needed O Inspection refused Pink Copy: SEH