1483 Pinetree Tr - Inspection FormCity of Capp
Residential Sanitary Sewer Service
Compliance Inspection
} J ( y ,/? •l am
Date 1 ? 11 1' ! Time ��
• pm
Name 4/ i ! �. isfc #
PID Number
House Number / �``s ._, Street Name
4" to 6 "Transition:
Alternative Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Entered St at
f ✓�i
r,7
Phone Cry
Inspector Signature
For information call 651.470.2788
Final Cleanout:
Oam
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Notes
i
+
i c _'� � '" ;;,) -) l A ;j. !
� .
Total
Incorrectly
Unknown
Sump pumps
j �
Foundation drains
Roof drains
. ,,,,_r-
Ni
i'
City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
} J ( y ,/? •l am
Date 1 ? 11 1' ! Time ��
• pm
Name 4/ i ! �. isfc #
PID Number
House Number / �``s ._, Street Name
4" to 6 "Transition:
Alternative Mailing Address
White Copy: Property Owner
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Entered St at
f ✓�i
r,7
Phone Cry
Inspector Signature
For information call 651.470.2788
Final Cleanout:
Oam
•
• O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH