822 Great Oaks Tr - Inspection FormCity of Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Name
Alternative Mailing Address
Time a r m n ,
▪ -/1isk#
/ /
)
RID Number
Owner/Occupant Signature
House Number "`'. -7 St •
reet Name
,
Record Number
ime
A
0'
7 7.
) Phone
k. •/.
t
cf am
o pm
inspecar' Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
,
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots .
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
s
Transition
4" to 6" Transition: it ::11
)
White Copy: Prop‘ty Owner
Non-Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
0, Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks,... Entered S L at
Length of Service:
Obstruction
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Cleanout:
- 7
Pink Copy: SEH
Notes
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1 i
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) 4
---- ,.......,
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i
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Number Discharged
Total Correctly Incorrectly
Unknown
Sump pumps
10111Mffai
1111
. ,
-
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,----- / )
v-/(22714
7/...-- -
-:-- - -----: - /1,---- -.
Foundation drains
Roof drains
MEM
,...
City of Eapa
Residential Sanitary Sewer Service
Compliance Inspection
Name
Alternative Mailing Address
Time a r m n ,
▪ -/1isk#
/ /
)
RID Number
Owner/Occupant Signature
House Number "`'. -7 St •
reet Name
,
Record Number
ime
A
0'
7 7.
) Phone
k. •/.
t
cf am
o pm
inspecar' Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
,
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots .
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
s
Transition
4" to 6" Transition: it ::11
)
White Copy: Prop‘ty Owner
Non-Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
0, Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks,... Entered S L at
Length of Service:
Obstruction
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Cleanout:
- 7
Pink Copy: SEH