4362 Onyx Dr - Inspection FormCity of'.Capp
Residential Sanitary Sewer Service
Compliance Inspection
a
Date ;" 10 7 / /C2
Name L � Z r'", re (,'
P1D Number
House Number
Alternative Mailing Address
Compliance
,'7'"No foundation drain connection
' �No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
r No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
n • am
Timed? !- p pm
Disk#
- 1 - LL 4i7
... Z. Street Name O /f'
OwnerlOccupant Signature
For information. call 651.4
Damaged Pipe
'Transition / fe/ ✓( /free-,
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
Number of stacks
Service Lateral Inspection Findings Entered 5.L at l
e
fi
Roots .761,
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Length of Service:
Yellow Copy: City of Eagan
Record Number
f
Notes
am
Time • o pm
( inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
7,„:-'7''"-
-�_..
P ____.,....
,,_�.. —_.
Foundation drains
,--
Y.,__
Roof drains
City of'.Capp
Residential Sanitary Sewer Service
Compliance Inspection
a
Date ;" 10 7 / /C2
Name L � Z r'", re (,'
P1D Number
House Number
Alternative Mailing Address
Compliance
,'7'"No foundation drain connection
' �No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
r No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
n • am
Timed? !- p pm
Disk#
- 1 - LL 4i7
... Z. Street Name O /f'
OwnerlOccupant Signature
For information. call 651.4
Damaged Pipe
'Transition / fe/ ✓( /free-,
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
Number of stacks
Service Lateral Inspection Findings Entered 5.L at l
e
fi
Roots .761,
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Length of Service:
Yellow Copy: City of Eagan
Record Number
f
Notes
am
Time • o pm
( inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Pink Copy: SEH