4351 Copper Pt - Inspection Form' `Cit y of bpi]
Residential Sanitary Sewer Service
Compliance inspection
Date j
Name t
PID Number
House Number ) - St reet Name
Alternative Mailing Address
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
Transition
4" to 6" Transition:
� am
Time ' pm
White Copy: Property Owner
r
I
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
Service Lateral Inspection Findings Number of stacks
Record Number
Notes
Entered S L. at
l i .
Phone /.> 1 _ )
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
'• 'O pm
m
•
r � r �' Final Cleanout:
Length of Service: =1,:s ._. _4_4-Final
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
FF r
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
2
Yellow Copy: City of Fagan Pink Copy: SFH
Number
Discharged
Total
Correctly
incorrectly
Unknown
Sump pumps
Foundation drains
-�
Roof drains
' `Cit y of bpi]
Residential Sanitary Sewer Service
Compliance inspection
Date j
Name t
PID Number
House Number ) - St reet Name
Alternative Mailing Address
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
Transition
4" to 6" Transition:
� am
Time ' pm
White Copy: Property Owner
r
I
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
Service Lateral Inspection Findings Number of stacks
Record Number
Notes
Entered S L. at
l i .
Phone /.> 1 _ )
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
'• 'O pm
m
•
r � r �' Final Cleanout:
Length of Service: =1,:s ._. _4_4-Final
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
FF r
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
2
Yellow Copy: City of Fagan Pink Copy: SFH