1490 Thomas Lane - Inspection Form1, 11b. City of Ca n
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date If
Name
PID Number
House Number
i ' a
/ 2 .�p r
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
urSrJ Disk
)
rE d / 7 Street Name
-- Os$nner /Occupant
h Signature
Compliance
O No foundation drain connection
0 No roof drain connection
Service Lateral Inspection Findings
Roots
1 � pm
Number of stacks
•
Alterna ive MailingAddres / - 1 1 Phone
f. /
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Yellow Copy: City of Fagan
Record Number �J
Time
fe )
Obstruction
Unable to push past
feet.
Final Cleanout:
• 'Q am
• 0 pm ,.;..
Entered S.L at
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Inspector Signature r _
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
.....!� ^�µ. ='�, .�� r' 7 iii: -{ f�
.:�r - -,
„� r s'
- J / r ,
) A ./..---.1,...4,- _. /
Total
Sump pumps
_
'_, f ,
<
% '
.
k j ; `
73 t,+` -
Foundation drains --
Roof drains � r
1, 11b. City of Ca n
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date If
Name
PID Number
House Number
i ' a
/ 2 .�p r
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
urSrJ Disk
)
rE d / 7 Street Name
-- Os$nner /Occupant
h Signature
Compliance
O No foundation drain connection
0 No roof drain connection
Service Lateral Inspection Findings
Roots
1 � pm
Number of stacks
•
Alterna ive MailingAddres / - 1 1 Phone
f. /
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
Length of Service:
Yellow Copy: City of Fagan
Record Number �J
Time
fe )
Obstruction
Unable to push past
feet.
Final Cleanout:
• 'Q am
• 0 pm ,.;..
Entered S.L at
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Inspector Signature r _
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused