1605 Lancaster Lane - Inspection Form4 City of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date 1!
r
White Copy: Propetty Owner
Time �"` _•
Name ) ..n 1 J,'3 �/ 1-47 Disk # L 1 J
PID Number
'2/3
1
House Number 1 /- r ; —, Street Name
Alternative Mailing Address
Owner /Occupant Signdtuje
am
t pm
EU LE
Yellow Copy: City of Eagan
Record Number
Time
0 am
•
• 0 P
Phone ?_�
Inspector Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
\ O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
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
Obstruction
Unable to push past
feet,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service:
Entered S.L at
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Final Cleanout:
For information call 651.470.2788
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Notes
Total
Unknown
. ,
Sump pumps
;-.
_ , t
Foundation drains
_....
Roof drains
4 City of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date 1!
r
White Copy: Propetty Owner
Time �"` _•
Name ) ..n 1 J,'3 �/ 1-47 Disk # L 1 J
PID Number
'2/3
1
House Number 1 /- r ; —, Street Name
Alternative Mailing Address
Owner /Occupant Signdtuje
am
t pm
EU LE
Yellow Copy: City of Eagan
Record Number
Time
0 am
•
• 0 P
Phone ?_�
Inspector Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
\ O No sump pump
Service Lateral Inspection Findings
4" to 6 "Transition:
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
Obstruction
Unable to push past
feet,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service:
Entered S.L at
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Final Cleanout:
For information call 651.470.2788
Pink Copy: SEH