2089 Marble Lane - Inspection Form11110— •
ct ota
Residential Sanitary Sewer Service
Compliance Inspection
2
Date/
Name 1 , �✓ !. /� Disk #
��
PID Number
7'7 / i!�
House Number , . �' Street Name , .7�
Alternative Mailing Address
/7"/X'. /'. / /
pwne y ant Signature
Compliance
No foundation drain connection
6 No roof drain connection
f
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
t
yTransition- / ' ~/ /
4" to 6" Transition:
White Copy: Property Owner
i (�, am
Time re . o pm
Length of Service:
)
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
Yellow Copy: City of Fagan
Record Number
Time /(
•
am
O pm
Phone rr f 1 " 5,2 "7
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
• - ' -
No Access
O No one in
Final Cleanout: ✓ '.
O Access to service
lateral needed
O Inspection
refused
Number of stacks ! Entered S L at - -• � �...
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
�® )1'''7*---- ) _5 �
1. 5 E1 b1
Total
Sump pumps
Foundation drains
Roof drains
‹yam ®,, 7(
11110— •
ct ota
Residential Sanitary Sewer Service
Compliance Inspection
2
Date/
Name 1 , �✓ !. /� Disk #
��
PID Number
7'7 / i!�
House Number , . �' Street Name , .7�
Alternative Mailing Address
/7"/X'. /'. / /
pwne y ant Signature
Compliance
No foundation drain connection
6 No roof drain connection
f
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
t
yTransition- / ' ~/ /
4" to 6" Transition:
White Copy: Property Owner
i (�, am
Time re . o pm
Length of Service:
)
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
Yellow Copy: City of Fagan
Record Number
Time /(
•
am
O pm
Phone rr f 1 " 5,2 "7
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
• - ' -
No Access
O No one in
Final Cleanout: ✓ '.
O Access to service
lateral needed
O Inspection
refused
Number of stacks ! Entered S L at - -• � �...
Pink Copy: SEH