2049 Flint Lane - Inspection FormCity of Cap.')
Residential Sanitary Sewer Service
Compliance Inspection
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots sr ` `' J —
-- wr-
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
.�. I
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
!.'i j am
Time pm
Date _ 1 )
Name �i'J'� Disk#
PID Number
House Number �f .. Street Name
Owner/Occupant Signature
For information call 651
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:
CLJ
Record Number
Entered S L. at
Notes
J'1
;` —: ! !i am
Time 0 pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
J Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
' ?'
Roof drains
City of Cap.')
Residential Sanitary Sewer Service
Compliance Inspection
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots sr ` `' J —
-- wr-
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
.�. I
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
!.'i j am
Time pm
Date _ 1 )
Name �i'J'� Disk#
PID Number
House Number �f .. Street Name
Owner/Occupant Signature
For information call 651
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:
CLJ
Record Number
Entered S L. at
Notes
J'1
;` —: ! !i am
Time 0 pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
J Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH