4811 Shevlin Ct - Inspection Formr City of Faun
Residential Sanitary Sewer. Service
Compliance Inspection
Datet 11 / � 1
Name :
PID Number
House Number
Alternative Mailing Address r ..
- ! i Street Name
Owner /Occupant Signature
For information call 65 1.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
C Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
�✓ am
Time '1 • p
- D-01:1E-LE
Phone l ��a <if� .
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
Length of Service:
Yellow Copy: City of Fagan
Record Number %
Time
Entered 5.l_. at
O am
•
• O pm
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Nur
Correctly
ber Discharged
Notes
.. rte_
_, '^
/ ' ` . " - � J` : . f
f , if
Total
Incorrectly
Unknown
Sump pumps
i
Foundation drains
Roof drains
�
r City of Faun
Residential Sanitary Sewer. Service
Compliance Inspection
Datet 11 / � 1
Name :
PID Number
House Number
Alternative Mailing Address r ..
- ! i Street Name
Owner /Occupant Signature
For information call 65 1.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
C Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
�✓ am
Time '1 • p
- D-01:1E-LE
Phone l ��a <if� .
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
Length of Service:
Yellow Copy: City of Fagan
Record Number %
Time
Entered 5.l_. at
O am
•
• O pm
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH