1551 Lancaster Lane - Inspection Form11 City i[ Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date f:' i i �% /
Name = ✓ f f Disk #
PID Number
House Number
Alternative Mailing Address
�_,. 7 .) .
77 am
Time f • o pm
Street Name
Owner /Occupant Signature
Record Number
Time
Phone
•
•
Inspector Signature
O am
O Pm
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
/ E
Sump pit not connected to
sanitary sewer
O Sump purnp properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Ownei
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump purnp connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S L. at
Notes
Final Cleanout:
,r. 7
7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
y 1
Pink Copy: SEH
Total
Number
Discharged
Incorrectly
Unknown
Sump pumps
, Correctly
i
Foundation drains
Roof drains
--
2 I✓
11 City i[ Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date f:' i i �% /
Name = ✓ f f Disk #
PID Number
House Number
Alternative Mailing Address
�_,. 7 .) .
77 am
Time f • o pm
Street Name
Owner /Occupant Signature
Record Number
Time
Phone
•
•
Inspector Signature
O am
O Pm
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
/ E
Sump pit not connected to
sanitary sewer
O Sump purnp properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Ownei
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump purnp connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S L. at
Notes
Final Cleanout:
,r. 7
7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
y 1
Pink Copy: SEH