4805 Shevlin Ct - Inspection FormSump pumps
Foundation drains
Roof drains
0—
4 1W. City of Ca n
Residential Sanitary Sewer Service
Compliance Inspection
.
Date) / / ` / , )
Name
PID Number
House Number
O
rr
F
O No sump pump
4" to 6 "Transition:
Alternative Mailing Address Phone /r:
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
White Copy: Property Owner
t •{i'' Q� am
Time t • Id pm
Disk #
Street Name
OwnerlOccupant Signature
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
-m
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Number Discharged
Total
Correctly
Incorrectly
Yellow Copy: City of Fagan
Record Number
Unknown ;3 r
Notes
Time
rigth of Service:
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
0
•
• O pm
No Access
0
0 am
No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
,47-2'
Final Cleanout:
Pink Copy: SEH