4248 Amber Dr - Inspection Form;City off' Capri
Residential Sanitary Sewer Service
Compliance Inspection
0
Date (02
Name }
PID Number
Alternative Mailing Address
4" to 6 "Transition:
Sump pumps
Foundation drains
Roof drains
Time
'k
\ f` iJ\ 4, 7)
1 f House Number . " Street Name _
pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Owner /Occupant Signature
Total
2 Disk
Correctly
am
pm
Incorrectly
For information call 651:470.2788
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
• ;r
Service Lateral Inspection Findings Number gf,.staas_ f Entered S..L at
Roots X77' T -257
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection___
Damaged Pipe
Transition
Length of Service:
Number:. Discharged
Unknown
Phones .. - �C
White Copy: Property Owner Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Notes
/
? am
,
Time a O pm
�f l
Inspector Signature
IJr
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
a
Final Cleanout: '
Pink Copy: SEH