2133 Sapphire Lane - Inspection Form0
City oI' Epp
Residential Sanitary Sewer Service
Compliance Inspection
Date - / /
Name ,f4/1/2726/1/ ,6 4-(5,4./.77 pisk #
PID Number
4” to 6" Transition:
White Copy: Property Owner
f • o am
Time •f rpm
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
0
Non - Compliance
Length of Service:
0
fl
House Number 2� Street Name ) 3 A .4it7
Td ,
Alternative MailingAddress
Record Number
p am
Time _T • / 2
Ph ne )4/1, - /17
..
inspector Signature
For information call 651.470.2788
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
No Access
O No one in
Entered S.L.at
O Access to service
lateral needed
O Inspection
refused
Service Lateral inspection Findings Number of stacks
Root
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Copy: City of Wigan 1 Pink Copy: SEH
Total
Notes _,,_ 5 7 4 . e K /4/4-1 /ivi 4 ,:"%?.,,
r i r yid z � s + ,,,,r ,, //.
i , T'/u re
. `l „,4-7
t C `l /S
-^ f'A.V °�'
fi�1 "f. /- -t;�� ✓,t!.1 Z-;�;%;;.'�7
` f ! Af /y{ ,�r 75 Li...-
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
_
Foundation drains
;
Roof drains
f
0
City oI' Epp
Residential Sanitary Sewer Service
Compliance Inspection
Date - / /
Name ,f4/1/2726/1/ ,6 4-(5,4./.77 pisk #
PID Number
4” to 6" Transition:
White Copy: Property Owner
f • o am
Time •f rpm
Owner /Occupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
0
Non - Compliance
Length of Service:
0
fl
House Number 2� Street Name ) 3 A .4it7
Td ,
Alternative MailingAddress
Record Number
p am
Time _T • / 2
Ph ne )4/1, - /17
..
inspector Signature
For information call 651.470.2788
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
No Access
O No one in
Entered S.L.at
O Access to service
lateral needed
O Inspection
refused
Service Lateral inspection Findings Number of stacks
Root
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Copy: City of Wigan 1 Pink Copy: SEH