936 Trail Ct - Inspection FormCity of Falam
Residential Sanitary Sewer Service
Compliance inspection
Date Ci` /
Name (1)/t2
PID Number
House Number
Alternative Mailing Address
L
For i nformation call 651A70.2788
Compliance
O No foundation drain connection
Viii roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
f .,- • .2- 0 a
Time Om
Disk ##
Ownerlt cupant Signature
Q
Street Name
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 Entered S L at
Length of Service:
L121
Phone
n
Record Number
Obstruction
Unable to push past
feet
Notes
Time ® " O
inspector Signature
f/ 2717
;i
Final Cleanout:
r 9 ; ,(//f /j 1I-L
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
f
Total
Number
Discharged .
.
Correctly
Incorrectly Unknown
Sump pumps
/
- -
Foundation drains
7
--�
"
Roof drains
� `
_
City of Falam
Residential Sanitary Sewer Service
Compliance inspection
Date Ci` /
Name (1)/t2
PID Number
House Number
Alternative Mailing Address
L
For i nformation call 651A70.2788
Compliance
O No foundation drain connection
Viii roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
f .,- • .2- 0 a
Time Om
Disk ##
Ownerlt cupant Signature
Q
Street Name
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 Entered S L at
Length of Service:
L121
Phone
n
Record Number
Obstruction
Unable to push past
feet
Notes
Time ® " O
inspector Signature
f/ 2717
;i
Final Cleanout:
r 9 ; ,(//f /j 1I-L
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH