2045 Flint Lane - Inspection FormCity al Fap
Residential Sanitary Sewer Service
Compliance Inspection
Date "1
Name
PID Number•
House Number M ,z' :1' Street Name
Alternative Mailing Address Phone /7:7 / L --
fi
Ow1ierlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks i Entered S.L at
Roots / f
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
Sag /Pipe Deflection
Damaged Pipe
tt
Transition f
White Copy: Property Owner
j ( %• ::::A-- o am
Time • ).k: pm
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
M ime
Obstruction
Unable to push past
feet
i • c 4L O em
• Am
Inspector Signature
r
L. Final Cfeanout: f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
./
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
, i
Foundation drains
C.--/
Roof drains
i ` j
City al Fap
Residential Sanitary Sewer Service
Compliance Inspection
Date "1
Name
PID Number•
House Number M ,z' :1' Street Name
Alternative Mailing Address Phone /7:7 / L --
fi
Ow1ierlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks i Entered S.L at
Roots / f
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
Sag /Pipe Deflection
Damaged Pipe
tt
Transition f
White Copy: Property Owner
j ( %• ::::A-- o am
Time • ).k: pm
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
M ime
Obstruction
Unable to push past
feet
i • c 4L O em
• Am
Inspector Signature
r
L. Final Cfeanout: f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
./
Pink Copy: SEH