695 Brentwood Lane - Inspection FormCity of E,a a
Residential Sanitary Sewer Service
Compliance Inspection
Name _`i_ 1
PID Number
House Number / i Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
6 No roof drain connection
O Sump pit not connected to
sanitary sewer
O ,Sump pump properly piped
;
C� No sump pump
Time
( vner /Occupant Signature
For information call. 651.470.2788
Service Lateral Inspection Findings
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
O' am
• (f
Disk #
Phone
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 Jr
Length of Service:
Yellow Copy: City of Fagan
Record Number
i 7.
O
i T ▪ lme ..-: • pm
inspector Signature
Obstruction
Unable to push past
feet
Entered S•I_.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection t
Notes
f - - i ' ,. — 1
No Access
O No one in
c _
Cleanout:
O Access to service
lateral needed
O inspection
r efused
1
tA"
Pink Copy: SEH
Total
Number
Discha
ged
Cor reedy
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
City of E,a a
Residential Sanitary Sewer Service
Compliance Inspection
Name _`i_ 1
PID Number
House Number / i Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
6 No roof drain connection
O Sump pit not connected to
sanitary sewer
O ,Sump pump properly piped
;
C� No sump pump
Time
( vner /Occupant Signature
For information call. 651.470.2788
Service Lateral Inspection Findings
Damaged Pipe
Transition
4" to b" Transition:
White Copy: Property Owner
O' am
• (f
Disk #
Phone
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 Jr
Length of Service:
Yellow Copy: City of Fagan
Record Number
i 7.
O
i T ▪ lme ..-: • pm
inspector Signature
Obstruction
Unable to push past
feet
Entered S•I_.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection t
Notes
f - - i ' ,. — 1
No Access
O No one in
c _
Cleanout:
O Access to service
lateral needed
O inspection
r efused
1
tA"
Pink Copy: SEH