4680 Fairway Hills Dr - Inspection Form°. City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date )/ / / / / J
Name );\ �� i - ; °' Disk #
PID Number.
House Number. rr '' /Street Name
Alternative Mailing Address
4" to 6" Transition:
White Copy: Property Owner
r' 00ccupantfS
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Or Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
-7,1 ,
! • - am
Time
"6 pm
Non- Compliance
O
O
O
O
O
J-Cr] -fT1
Number of stacks
/
For information call 651.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Obstruction
Unable to push past
feet
Entered S,L.at
Roots
•
Inspector Signature ` -- - ";
Final Cleanout:
0 a
O pm
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
Transition
Pink Copy: SEH
Number
Correct) Y
Discharged
Notes
_.
P l' a,:
- f —
Total
Incorrectly
Y
U nknown
Sump pumps
/1
V
Foundation drains
Roof drains
°. City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date )/ / / / / J
Name );\ �� i - ; °' Disk #
PID Number.
House Number. rr '' /Street Name
Alternative Mailing Address
4" to 6" Transition:
White Copy: Property Owner
r' 00ccupantfS
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Or Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
-7,1 ,
! • - am
Time
"6 pm
Non- Compliance
O
O
O
O
O
J-Cr] -fT1
Number of stacks
/
For information call 651.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
Obstruction
Unable to push past
feet
Entered S,L.at
Roots
•
Inspector Signature ` -- - ";
Final Cleanout:
0 a
O pm
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
Transition
Pink Copy: SEH