4627 Fairway Hills Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
4 111. . City of Capon
Residential Sanitary Sewer Service
Compliance Inspection
Date ! � - , 1
Name ') //;
PID Number
House Number a . / Street Name
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time `1 1 j "
•
Disk #
OwnerlOccupant Signature
am
0 pm
S
Alternative Mailing Address
For information call 651.470.2788
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Time
. l
Phone )-2
- .
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Notes
Inspector Signature L.:
Final Cleanout:
d
.77:7? j"
• O am
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
I
Yellow Copy: City of Eagan Pink Copy: SEH