4091 Diamond Dr - Inspection Formill City of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date3 //_a
Name
House Number
Poor Pipe Joints
Mineral Deposits
PID Number
r
No roof drain connection
4" to 6" Transition:
White Copy: Property Owner
e v'fy
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
•) o am
Time • ' Pm
Disk #
OwnerlOccupant Signature
Compliance
O No foundation drain connection
Street Name
Length of Service:
Yellow Copy: City of Eagan
1 - '
Alternative Mailing Address
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
Sag /Pipe Deflection
Damaged Pipe
Transition 2-1 �>�`�� �-; -�, � �� /7 ✓ - -9+_ __�t'!�.;
Record Number
j
•.J
Service Lateral Inspection Finding Number of stacks -/ Entered St at
Roots .., � :: i : /z9
"" •
•
0 a
Pm
Phone . 1 t ) ?
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
9
Pink Copy: SEH
Number Discharged
Unknown
Notes
, c
)/
✓�I i ( 1
Total
Correctly
Incorrectly
Sump pumps
/`
Foundation drains
,
Roof drains
:,.
ill City of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date3 //_a
Name
House Number
Poor Pipe Joints
Mineral Deposits
PID Number
r
No roof drain connection
4" to 6" Transition:
White Copy: Property Owner
e v'fy
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
•) o am
Time • ' Pm
Disk #
OwnerlOccupant Signature
Compliance
O No foundation drain connection
Street Name
Length of Service:
Yellow Copy: City of Eagan
1 - '
Alternative Mailing Address
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
Sag /Pipe Deflection
Damaged Pipe
Transition 2-1 �>�`�� �-; -�, � �� /7 ✓ - -9+_ __�t'!�.;
Record Number
j
•.J
Service Lateral Inspection Finding Number of stacks -/ Entered St at
Roots .., � :: i : /z9
"" •
•
0 a
Pm
Phone . 1 t ) ?
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
9
Pink Copy: SEH