2243 Liberty Lane - Inspection Form40.
city of Flop
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 .11 // / ,
Name /Y /f, iv 444 -0 Disk#
PID Number
Alternative MjilingAddr•ess
House Number
Compliance
No foundation drain connection
�t? No roof drain connection
,
Sump pit not connected to
sanitary sewer
-0 Sump pump properly piped
j` YNo sump pump
4" to 6 "Transition:
QwnerlOccupant Signature
f
White Copy: Property Owner
Time • 0 .wpm
Street Name
on Compliance
O
O
O
O
O
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Clear. water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Sag /Pipe Deflection
Damaged Pipe.
J
Transition s- i `` f` ''` i c
Length of Service:
Record Number
. • 9:(7 o am
° r
Time f • C pm
Phone ) C-1
I f� '� ./
. / % i nspector Signature
For information call 651.470.2788
t�l
Obstruction
Unable to push past
feet
Entered S L. at _. } /c -.
Notes t ��✓� t,
L
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Copy: City of Eagan Pink Copy: SFH
Total
Number
Disch caged
Correctly.`
lncorrectly
Unknown
Sump pumps
r
s�
-� - °� -
Foundation drains
� ✓' -
Roof drains
40.
city of Flop
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 .11 // / ,
Name /Y /f, iv 444 -0 Disk#
PID Number
Alternative MjilingAddr•ess
House Number
Compliance
No foundation drain connection
�t? No roof drain connection
,
Sump pit not connected to
sanitary sewer
-0 Sump pump properly piped
j` YNo sump pump
4" to 6 "Transition:
QwnerlOccupant Signature
f
White Copy: Property Owner
Time • 0 .wpm
Street Name
on Compliance
O
O
O
O
O
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Clear. water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Sag /Pipe Deflection
Damaged Pipe.
J
Transition s- i `` f` ''` i c
Length of Service:
Record Number
. • 9:(7 o am
° r
Time f • C pm
Phone ) C-1
I f� '� ./
. / % i nspector Signature
For information call 651.470.2788
t�l
Obstruction
Unable to push past
feet
Entered S L. at _. } /c -.
Notes t ��✓� t,
L
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Copy: City of Eagan Pink Copy: SFH