4265 Amber Dr - Inspection FormCity
Residential Sanitary Sewer Service
Compliance Inspection
Date er7,2 /
Name A': 4''Vf i Z. 4•�•'sdd✓ Disk #
F d
lam'( tr n■
Compliance
O `�No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
C+No sump pump
Mineral Deposits r
4" to 6" Transition:
Sag /Pipe Deflection 0 . `
White Copy: Proper ty Owner
T ime / • Or o pm
Owned() upant Signature
0
0
0
0
0
PID Number
House Number 41 47 I( Street Name
Alternative Mailing Address
— J
Non - Compliance
✓rri , % t 1/r �` �Lengeh of Service:
u -�
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Damaged Pipe
Transition
Yellow Copy: City of Fagan
Record Number
• F , w c edm
Time i.f / • o pin
inspector Signature
For information ;call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks
Roots 7,4 r �=
Poor PipeJoints
No Access
O No one in
Entered S L at . ors
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
N otes;a � , f r� c ,
- �S 1_.°
/ --f.) 7 .7,, .- ,
Total
Sump pumps
-z
W _ -
Foundation drains
- �
Roof drains
/,
m
City
Residential Sanitary Sewer Service
Compliance Inspection
Date er7,2 /
Name A': 4''Vf i Z. 4•�•'sdd✓ Disk #
F d
lam'( tr n■
Compliance
O `�No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
C+No sump pump
Mineral Deposits r
4" to 6" Transition:
Sag /Pipe Deflection 0 . `
White Copy: Proper ty Owner
T ime / • Or o pm
Owned() upant Signature
0
0
0
0
0
PID Number
House Number 41 47 I( Street Name
Alternative Mailing Address
— J
Non - Compliance
✓rri , % t 1/r �` �Lengeh of Service:
u -�
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Damaged Pipe
Transition
Yellow Copy: City of Fagan
Record Number
• F , w c edm
Time i.f / • o pin
inspector Signature
For information ;call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks
Roots 7,4 r �=
Poor PipeJoints
No Access
O No one in
Entered S L at . ors
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH