2014 Flint Lane - Inspection FormSump pumps
�7
Foundation drains
Roof drains
{ City of 1rd jn
Residential Sanitary Sewer Service
•
Compliance Inspection
Date ! 2 i /
Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O Sump pit noc connected to
sanitary sewer
O Sump pump properly piped
No sump pump
No roof drain connection
C 6 / am
Time • pm
Disk #
PID Number
n i) }
House Number � �F'T 1 S treet Name
i T
OwnerlOccupont 'Signature
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
Record Number
am
Time ' • " ' pm
Phone rl��
LJT t+.v'
lns(etar Signature
For information tall 651:470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks 4 . Entered S L. at
Roots = ' I ' ? / )(°, i
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
c f i /./`
Transition
4" to 6" Transition:
White Copy: Property Owner
—+T2
Tota
Number Discharged
Correctly
! 3�
Length of Service: ) < J _ Final Cleanout:
Incorrectly
Unknown
Notes
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH