2071 Garnet Lane - Inspection FormSump pumps
Foundation drains
Roof drains
of 4'�.. V b
Residential Sanitary Sewer Service
Compliance Inspection
Compliance
No foundation drain connection
Date
Name /
PID Number
House Number
i1
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
ar Disk #
Owner/Occupant Signature
C
Total
• p am
Time // . 45„
0
Correctly
J
O
/-2
0 7 / Street Name 6
f r
Alternative Mailing Address P one
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
Damaged Pipe
Transition
!r 7/5 Length of Service:
Incorrectly Unknown
Number Discharged
Record Number
[T] Time / ; / / -
14'
7
f
Inspector Signature
For information call 651.470.2788
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Service Lateral Ins ection Findings Number of stacks l Entered S L. at '? 4 1 ('c
Roots 7/ -9 ` /
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection 77
Final Cleanout:
Notes // , 4vr,...;° : ,e
9 's /elf` o 4V(.1` 1:2 ',' ' � i�',�.
's !y'L
Yellow Copy: City of Fagan Pink Copy: SEH