2079 Opal Dr - Inspection Forms4111111
City of Eapii •
Compliance Inspection
Residential Sanitary Sewer Service
Date / ? //
Name
PID Number
House Number // Street Name
Alternative MailingAddress
Compliance
O No foundation draM connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6"Transition:
White Copy: Pi oper ty Owner
/ am
Time 4 • pin
j 7
I(' Disk #
OwnerlOccupant Signature
1
Length of Service:
63 )
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
)
Phone 7/7")
%.
For information call 651.470.2788
Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
""/
Record Number
Obstruction
Unable to push past
feet
Time
inspector Signature
Final Cleanout:
o arn
•
• o prn
No Access
O No one in
Access to service
lateral,weallAdy;
O Inspection
refused
—
-
/C.( 117:(71 Pia Copy: SEH
Yellow Copy: City of Fagan
f.
..,:!'...:.:.
Correctly
Discharged
es 1
-- I )
'' ' ? •, 1
r ! , :2 ----. 1 • - -, ---,!....."- ....------,.------)
----
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,_-
/
L, i , /(11 ---;2 .., i n 4 / --) '
H .F--7(_...- c. :---1 6".. / ----- -f-i±i- -
c )
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)1„---) i d ' -- i
Total
incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
4111111
City of Eapii •
Compliance Inspection
Residential Sanitary Sewer Service
Date / ? //
Name
PID Number
House Number // Street Name
Alternative MailingAddress
Compliance
O No foundation draM connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6"Transition:
White Copy: Pi oper ty Owner
/ am
Time 4 • pin
j 7
I(' Disk #
OwnerlOccupant Signature
1
Length of Service:
63 )
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
)
Phone 7/7")
%.
For information call 651.470.2788
Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
""/
Record Number
Obstruction
Unable to push past
feet
Time
inspector Signature
Final Cleanout:
o arn
•
• o prn
No Access
O No one in
Access to service
lateral,weallAdy;
O Inspection
refused
—
-
/C.( 117:(71 Pia Copy: SEH
Yellow Copy: City of Fagan
f.