2053 Garnet Lane - Inspection Forms411 City of fa aii
Residential Sanitary Sewer Service
Compliance Inspection
Date,1 1 )
PID Number
House Number
Aker native Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Roots
No sump pump
Time
Disk #
Street Name
Owner /Occupant Signature
Service Lateral Insciectionr Findings
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I
,
Transition
4" to 6 "Transition:
White Copy: Propel ty Owner
e'+/C.JZ_1 o
mo/ am
�• 47 Pm
For information call 651.470.2788
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
Length of Service:
Yellow Copy: City of Fagan
Record Number
it Time
Phone 1 ) " 7 7 ,7Y
inspector Signature
Obstruction
Unable to push past
feet
Nu ber of stacks 1 Entered S,L. at
f1
.9/ 0 am
-
r ' Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
- ,
Final Cleanout:
Pink Copy: SEH
Nurrber
Correctly
Discharged
Notes
) �i
'.,ii) ' li )( �' ' ":" (1r
..." '' 5/ L"
fi i
C.//if id ,, C'''
Total
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
! :J " :tf J :_ i i ' — �..1; i ,,v1:7 "
411 City of fa aii
Residential Sanitary Sewer Service
Compliance Inspection
Date,1 1 )
PID Number
House Number
Aker native Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Roots
No sump pump
Time
Disk #
Street Name
Owner /Occupant Signature
Service Lateral Insciectionr Findings
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I
,
Transition
4" to 6 "Transition:
White Copy: Propel ty Owner
e'+/C.JZ_1 o
mo/ am
�• 47 Pm
For information call 651.470.2788
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
Length of Service:
Yellow Copy: City of Fagan
Record Number
it Time
Phone 1 ) " 7 7 ,7Y
inspector Signature
Obstruction
Unable to push past
feet
Nu ber of stacks 1 Entered S,L. at
f1
.9/ 0 am
-
r ' Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
- ,
Final Cleanout:
Pink Copy: SEH