3489 Wolfberry Ct - Inspection Form40.
it of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
P1D Number
House Number
Compliance
O No foundation drain connection
0 ) No roof drain connection
Sump pit not connected to
sanitary sewer
,$;
b No sump pump
I /(
Sump pump properly piped
Service Lateral Inspection Findings
Roots
Transition " "r
4" to 6" Transition:
,1
(
White Copy: Propel ty Owner
Time
Disk #
Street Name
Owner ccupant Signature
O pm
Non-Compliance
O Clear water connections to
sanitary sewer
• 0 Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number.
/
Alternative Mailing Address
Phone
• )
Time " / pm
•") —
p 1 / y„,
Inspector Signature
Obstruction
Unable to push past
feet
For information call 651.470.2788
Entered S L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Length of Service: / Cleanout:
Pink Copy: SEH
Number
Correctly
ischarged
Incorrectly UnknoWn
s
Note _
i
p
17 ' --• _.e.,....L r7,73-:• i _ • ::::,-,
„,
,. , k, L...„).
1
(, ''/:),-, "Ilf- ''''"'
Total
Sump pumps
A,
Foundation drains
Roof drains
:-.
40.
it of Capri
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
P1D Number
House Number
Compliance
O No foundation drain connection
0 ) No roof drain connection
Sump pit not connected to
sanitary sewer
,$;
b No sump pump
I /(
Sump pump properly piped
Service Lateral Inspection Findings
Roots
Transition " "r
4" to 6" Transition:
,1
(
White Copy: Propel ty Owner
Time
Disk #
Street Name
Owner ccupant Signature
O pm
Non-Compliance
O Clear water connections to
sanitary sewer
• 0 Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number.
/
Alternative Mailing Address
Phone
• )
Time " / pm
•") —
p 1 / y„,
Inspector Signature
Obstruction
Unable to push past
feet
For information call 651.470.2788
Entered S L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Length of Service: / Cleanout:
Pink Copy: SEH