2022 Jade Lane - Inspection Form41. City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 /
Name
House Number
-
Owner /fi
Compliance
O 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
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
PID Number
Street Name
an Signature
-m
Length of Service:
L '
Alternative Mailing Address Phone ^ ) - . 2 a !- ) J9
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
Record Number.
Time
Inspector Signature
Obstruction
Unable to push past
feet
p am
•
• p pm
For information call 651.470.2788
No Access
0 No one in
Access to service
lateral e �I
0 Inspec ion t `
refused
Service Lateral Inspection Findings Number of stacks Entered S L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan'
Final Cleanout:
= Z' ink Copy: SEH
Number Discharged
} Notes
i
- y !`" `. -L_' --�
1 z'
r = ` � v /
r
c. /fi . r '7. ,. ,. _ ), `-- '` .4_.
_:1, - -. 7, Tom`_ (4- --'-
t
% � � '
T om°
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
.._.,-
Roof drains
..:� _ _ ,--t
41. City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 /
Name
House Number
-
Owner /fi
Compliance
O 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
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
PID Number
Street Name
an Signature
-m
Length of Service:
L '
Alternative Mailing Address Phone ^ ) - . 2 a !- ) J9
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
Record Number.
Time
Inspector Signature
Obstruction
Unable to push past
feet
p am
•
• p pm
For information call 651.470.2788
No Access
0 No one in
Access to service
lateral e �I
0 Inspec ion t `
refused
Service Lateral Inspection Findings Number of stacks Entered S L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan'
Final Cleanout:
= Z' ink Copy: SEH
Ci4 of Ea ap
Residential Sanitary Sewer Service
Compliance Inspection
Date f251 7 4 1 7
Name r Disk # Time
PID Number'
House Number 2472 Street Narne
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit noc connected to
sanitary sewer
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
OwnerlOccupa
White Copy: Property Owner
• O am
Time / • S t cppm
gnature
Non - Compliance
0
O
O
0
0
s
Number of stacks
C IL LA M % f --
Length of Service:
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
1
Yellow Copy: City of Eagan
Record Number.
Phone /
ale` /
/ lrFSpector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
. f • s? O pm
O Inspection
refused
Entered S . at STtO --- "
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition L i ar
Final Cleanout: ,7/
Pink Copy: SEH
Total
Notes
,,. 41 ✓
;"2,14 (1),r 1., i .
J / `
_ '! C ` ,
1'i C •
i iJ L.) %
41°
''.501-,(//e r
1
r
, 1 6
°;%1 '
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
-
Roof drains
e._- --- - -_
'_ _---
v
Ci4 of Ea ap
Residential Sanitary Sewer Service
Compliance Inspection
Date f251 7 4 1 7
Name r Disk # Time
PID Number'
House Number 2472 Street Narne
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit noc connected to
sanitary sewer
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
OwnerlOccupa
White Copy: Property Owner
• O am
Time / • S t cppm
gnature
Non - Compliance
0
O
O
0
0
s
Number of stacks
C IL LA M % f --
Length of Service:
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
1
Yellow Copy: City of Eagan
Record Number.
Phone /
ale` /
/ lrFSpector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
. f • s? O pm
O Inspection
refused
Entered S . at STtO --- "
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition L i ar
Final Cleanout: ,7/
Pink Copy: SEH