4344 Onyx Dr - Inspection FormCity of Capp
Residential Sanitary Sewer Service
CoirinpliaLnce inspection
Date2L/22J /a
Name ././ Disk #
PID Number
Oze
House Number Street Name
Alternative Mailing Address
/
(;(//
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k r No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
White Copy: Proper ty Owner
•
Time • o pm
nerieccupant Signature
0
0
0
Non
Clear water connections to
sanitary sewer
Service e lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Sag/Pipe Deflection
Damaged Pipe
Transition 4 1 v ,t;
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
Time it)
am
Pm
Ph ne//5 5
Obstruction
Unable to push past
feet
inspecto/S'ignature
Number of stacks Entered S L at - Pi* (
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final CI eanout:
Pink Copy: SEH
.
Number
Correctly
. -
Dis charged .
Incorrectly Unknown
Notes 3 ;* Z 0
,
' , ./.1 '',.:,.. - . 44 ..,
. ' ! - • • 9 ttet
/1/ / , V/V,Wal..-‘A/ 4 .
.".'
1 0051 / Z F 1 „,,A-C (
ir - • e; , s , ,--1 4 : :", , t()
Total
Sump pumps
—
Foundation drains
Roof drains
City of Capp
Residential Sanitary Sewer Service
CoirinpliaLnce inspection
Date2L/22J /a
Name ././ Disk #
PID Number
Oze
House Number Street Name
Alternative Mailing Address
/
(;(//
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k r No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
White Copy: Proper ty Owner
•
Time • o pm
nerieccupant Signature
0
0
0
Non
Clear water connections to
sanitary sewer
Service e lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Sag/Pipe Deflection
Damaged Pipe
Transition 4 1 v ,t;
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
Time it)
am
Pm
Ph ne//5 5
Obstruction
Unable to push past
feet
inspecto/S'ignature
Number of stacks Entered S L at - Pi* (
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final CI eanout:
Pink Copy: SEH