2033 Flint Lane - Inspection FormCity of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date .r-
r�
Name r
Compliance
No foundation drain connection
,'OR No roof drain connection
O Sump pit not connected to
sanitary sewer
0 1 Sump pump properly piped
7 ® No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
PID Number
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
am
pm
J
Length of Service:
Yellow Copy: City of Eagan
House Number J `� ' Street Name
Alternative Mailing Address Phone 2 Z - 3 — 1 : Z-7 1
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 statics 1
Record Number
Time 7? pm
Entered S L. at
Inspector Signature
Obstruction
Unable to push past
feet
am
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
te
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe I ��
Transition L 7 ? i , /
1 Final Cleanout: /
Pink Copy: SEH
Number Discharged
Unknown
Notes
A
Total
Correctly
Incorrectly
Sump pumps
t 1
Foundation drains
' l
Roof drains
/
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date .r-
r�
Name r
Compliance
No foundation drain connection
,'OR No roof drain connection
O Sump pit not connected to
sanitary sewer
0 1 Sump pump properly piped
7 ® No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
PID Number
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots
am
pm
J
Length of Service:
Yellow Copy: City of Eagan
House Number J `� ' Street Name
Alternative Mailing Address Phone 2 Z - 3 — 1 : Z-7 1
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 statics 1
Record Number
Time 7? pm
Entered S L. at
Inspector Signature
Obstruction
Unable to push past
feet
am
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
te
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe I ��
Transition L 7 ? i , /
1 Final Cleanout: /
Pink Copy: SEH