939 Wild Rose Ct - Inspection Form'!-
City of Faau
Residential Sanitary Sewer Service
Compliance Inspection
Date f ) / 1 _i Time
Name / 1 _ /2 2 , Disk #
PID Number
House Number r � Street Name _ f Vl .VI - _ . _� " --
Alternative,MailingAddr - - Phone ( --, / ,-----
> -- % =
, -%
Roots
f
4" to 6 "Transition: l
White Copy: Pr operty Owner
Owner /Occupant Signature
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition L '
iL PP am
• O pm
Length of Service:
For information call 651.470.2788
Compliance Non- Compliance
O No foundation drain connection 0 Clear water connections to
h ' No roof drain connection sanitary sewer
/
0 Service lateral defects
Sump pit not connected to
0 Defective manholes
sanitary sewer
0 Sump pump connected to sanitary
Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
am
pm
•
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged ,
Noti s
Total C
Correctly Incorrectly U
Unknown
Sump pumps f
f -
><
Foundation drains
Roof drains ,
1
City of Faau
Residential Sanitary Sewer Service
Compliance Inspection
Date f ) / 1 _i Time
Name / 1 _ /2 2 , Disk #
PID Number
House Number r � Street Name _ f Vl .VI - _ . _� " --
Alternative,MailingAddr - - Phone ( --, / ,-----
> -- % =
, -%
Roots
f
4" to 6 "Transition: l
White Copy: Pr operty Owner
Owner /Occupant Signature
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition L '
iL PP am
• O pm
Length of Service:
For information call 651.470.2788
Compliance Non- Compliance
O No foundation drain connection 0 Clear water connections to
h ' No roof drain connection sanitary sewer
/
0 Service lateral defects
Sump pit not connected to
0 Defective manholes
sanitary sewer
0 Sump pump connected to sanitary
Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
am
pm
•
Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH