2050 Flint Lane - Inspection FormResidential Sanitary Sewer Service
4,L. City of Fla p Compliance Inspection
Date f ) i )
r r�
Name !"
PID Number
House Number DCJ Street Name
Alternative Mailing Address
,
Owner/Occ
For information call 651.470.2788
Compliance
O No foundation drain connection
1
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1
/ No sump pump
Service Lateral 1t spection Findings
Roots
_-
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
�4 E
Transition —li' -?
4" to 6" Transition:
White Copy: Pt open ty Owner
- ! �< r 4 am
Time • o pm
Disk #
t
ant Signature
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
1 C�
Number. of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number.
D Time • _o pm
•
Phone J
Obstruction
Inspector Signature
Final Cleanout:
Entered S . at 3 ��
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink CoPy SEH
Number
Correctly
Discharged,
Incorrectly Unknown
Notes c
Cy `l f r'2 , / j G c_� �
f r
_ .�--� �'� . -- - ? r � /c "��' ? �� ), -,::
t
i )r1 ' J 44/.4 ("
i
ef- )-5(
Total
Sump pumps
`��, i
J
Foundation drains
Mall
Roof drains
Residential Sanitary Sewer Service
4,L. City of Fla p Compliance Inspection
Date f ) i )
r r�
Name !"
PID Number
House Number DCJ Street Name
Alternative Mailing Address
,
Owner/Occ
For information call 651.470.2788
Compliance
O No foundation drain connection
1
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
1
/ No sump pump
Service Lateral 1t spection Findings
Roots
_-
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
�4 E
Transition —li' -?
4" to 6" Transition:
White Copy: Pt open ty Owner
- ! �< r 4 am
Time • o pm
Disk #
t
ant Signature
Non - Compliance
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
1 C�
Number. of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number.
D Time • _o pm
•
Phone J
Obstruction
Inspector Signature
Final Cleanout:
Entered S . at 3 ��
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink CoPy SEH