4368 Onyx Dr - Inspection FormsCity of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date (27/ c / /'
Name /i/`,J 9!'•y7 Disk #
PID Number
House Number Z /(' Street Name _ atiK
Alternative a g A dress
1
OWh Signature
For information call 65 1:470.2788
Compliance
O No foundation drain connection
ID` No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q No sump pump
p
Service Lateral Inspection Findings Number of stacks Entered S L at J /k - -
Roots g
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition: ;0
White Copy: Property Owner
ti • f r Oam
Time l ,� • v ,-O pm
t
0
Non - Compliance
Clear water connections to
sanitary sewer / iJ U , .�
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
0
L
p h on
/
f
i ` _ /, , /(., ✓�'
J
z r r Inspector Signature
� ® d y 1 pm
Time • � y pm
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Notes -P i -o c. °��"` ° "'#
- - f , j'iz
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
� -
_
_..,_.�
_.._..__...
Foundation drains
Roof drains
__________
City of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date (27/ c / /'
Name /i/`,J 9!'•y7 Disk #
PID Number
House Number Z /(' Street Name _ atiK
Alternative a g A dress
1
OWh Signature
For information call 65 1:470.2788
Compliance
O No foundation drain connection
ID` No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q No sump pump
p
Service Lateral Inspection Findings Number of stacks Entered S L at J /k - -
Roots g
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition: ;0
White Copy: Property Owner
ti • f r Oam
Time l ,� • v ,-O pm
t
0
Non - Compliance
Clear water connections to
sanitary sewer / iJ U , .�
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
0
L
p h on
/
f
i ` _ /, , /(., ✓�'
J
z r r Inspector Signature
� ® d y 1 pm
Time • � y pm
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
7 61 / ic r 7' L�'='i
Number
Correctly
Disch
Incorrectly Unknown
Notes 7
1 —
,
c ( f
( T7) / Sp, // L.
(1 - (i 0lc j iks) C— 7,
S 4 1 v d.. r•'t ))
/v4 t , v EF ct .1. �-7cJ J
,Z
Mme. o 0A l 'T FJt�
Total
Sump pumps
Foundation drains
i F9 /,
I
i
/
Roof drains
1 i
\ i t
i3r
)
City of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
Date 6 1 14 ,..4?
Name / L //J /4/j)/74
PID Number
House Number Street Name galW,
Alternative MailingAddress
4" to 6" Transition:
White Copy: Property Owner
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time �CJG . pm
Owner /Occupant Signature
Disk LIJ -CLI_J
1
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
Service Lateral Inspection Findings Number of stacks (. Entered S L at � !70, (
O
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Prone �
/ Inspector Signature
//� � oam
Time C7 ;,pm
Obstruction
Une to push past
feet
J-
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH