3754 Ridgewood Dr - Inspection Form4 City of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date - - ') I '7 1 [
i'
Name
PID Number
House Number
Alternative Mailing Address
/
Compliance
No foundation
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No., p pump
r !
4" to b" Transition:
White Copy: Property Owner
f ,,.� am
Time Pm
Disk #
/. r Name
drain connection
OwnerlOcfupant Signature
For information call 651.470.2788
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe (j
Transition
2
Phone
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks � 1 Entered S L at
• /
Length of Service:
Yellow Copy: City of Eagan
Record Number
Inspector Signature
Obstruction
Unable to push past
feet.
VSNRWap
I %'• 7 L - am
• pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
23
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
4 City of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date - - ') I '7 1 [
i'
Name
PID Number
House Number
Alternative Mailing Address
/
Compliance
No foundation
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No., p pump
r !
4" to b" Transition:
White Copy: Property Owner
f ,,.� am
Time Pm
Disk #
/. r Name
drain connection
OwnerlOcfupant Signature
For information call 651.470.2788
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe (j
Transition
2
Phone
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks � 1 Entered S L at
• /
Length of Service:
Yellow Copy: City of Eagan
Record Number
Inspector Signature
Obstruction
Unable to push past
feet.
VSNRWap
I %'• 7 L - am
• pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
23