2046 Flint Lane - Inspection FormCity or p
Residential Sanitary Sewer Service
Compliance Inspection
Date £ 5 / 2 C) / /0
Name E2,e 6 ZW=4/9 Disk #
r
PID Number
-louse Number
Compliance
CCzNo foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/No sump pump
Mineral Deposits ---
p • A m
a
Time 2? • O pm
y a
-, Street Name
Owner - Occupant Signature
0
Alternative Mailing Address
For information call 65 1.470.2788
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
Service Lateral Inspection Findings Number of stacks
Roots$
Poor Pipe Joints
Sag /Pipe Deflection
Damaged Pipe
Transition 1 -4 ° l (7-17A --- 1
4" to 6" Transition:
White Copy: Proper ty Owner
f
0
1
5'4 c
Length of Service:
Yellow Copy: City of Eagan
Record Number
2/4—
Time a
Obstruction
Unable to push past
feet
•
S
ciiam
O pm
Pho e 4 e° r
1..
//i
�_,✓ . -/ spector Signature
No Access
O No one in
Entered S.L at —� /• �� /C E
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknow
Notes i t .. -. r c.� ✓ - -)L-- ,I'"
17,i6%��, Li ,---e-1 e
. -.
Total
Sump pumps
..-________,E
—'_ -_.—
Foundation drains
j _111.
)--
r -c"% .� __.._. .
Roof drains
-- "- _w --
— .___..
City or p
Residential Sanitary Sewer Service
Compliance Inspection
Date £ 5 / 2 C) / /0
Name E2,e 6 ZW=4/9 Disk #
r
PID Number
-louse Number
Compliance
CCzNo foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/No sump pump
Mineral Deposits ---
p • A m
a
Time 2? • O pm
y a
-, Street Name
Owner - Occupant Signature
0
Alternative Mailing Address
For information call 65 1.470.2788
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
Service Lateral Inspection Findings Number of stacks
Roots$
Poor Pipe Joints
Sag /Pipe Deflection
Damaged Pipe
Transition 1 -4 ° l (7-17A --- 1
4" to 6" Transition:
White Copy: Proper ty Owner
f
0
1
5'4 c
Length of Service:
Yellow Copy: City of Eagan
Record Number
2/4—
Time a
Obstruction
Unable to push past
feet
•
S
ciiam
O pm
Pho e 4 e° r
1..
//i
�_,✓ . -/ spector Signature
No Access
O No one in
Entered S.L at —� /• �� /C E
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH