2075 Flint Dr - Inspection Formr
My of Fagan
Residential Sanitary Sewer Service
Compliance Inspection
Date e7e / 0.,e/ /c
2 FW Disk#
Compliance
( 0 / No foundation drain connection
ei No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
tQ No sump pump
Service Lateral Inspection Findings
Roots Z !I ;�
White Copy: Property Ownex
Time 8
Name 44 /I /_✓i/i
PID Number
House Number A:375"
Alternative Mailing Address
i'
r
Owner /Occupant Signature
OO pm
4" to 6"Transition: 4 C , '
{._ Len
p? :26%
Street Name 7
1
For information call 651A70.2788
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
1
Sag /Pipe Deflection
Damaged Pipe •
Transition t(IV'`4 9
Number of stacks Entered S.L.
Poor Pipe Joints
Mineral Deposits C( 7 C;
h of Service:
Yellow Copy: City of Eagan
Record Number
Pho e . /,d -- 5 '-
�lnspector Signature
Obstruction
Unable to push past
feet
Notes
Time
•
• - -o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final ��C�leanyoyu/t:�
Punk Copy: SEH
Number,. D
Discharged
.Unknown .......
Total C
Sump pumps
Foundation drains
Roof drains ,
,'t
c` ____ _
_...._..... _ _ .
...
My of Fagan
Residential Sanitary Sewer Service
Compliance Inspection
Date e7e / 0.,e/ /c
2 FW Disk#
Compliance
( 0 / No foundation drain connection
ei No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
tQ No sump pump
Service Lateral Inspection Findings
Roots Z !I ;�
White Copy: Property Ownex
Time 8
Name 44 /I /_✓i/i
PID Number
House Number A:375"
Alternative Mailing Address
i'
r
Owner /Occupant Signature
OO pm
4" to 6"Transition: 4 C , '
{._ Len
p? :26%
Street Name 7
1
For information call 651A70.2788
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
1
Sag /Pipe Deflection
Damaged Pipe •
Transition t(IV'`4 9
Number of stacks Entered S.L.
Poor Pipe Joints
Mineral Deposits C( 7 C;
h of Service:
Yellow Copy: City of Eagan
Record Number
Pho e . /,d -- 5 '-
�lnspector Signature
Obstruction
Unable to push past
feet
Notes
Time
•
• - -o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final ��C�leanyoyu/t:�
Punk Copy: SEH
Notes
Number Discharged
!V / / '� ,ir '� f�
> -
{"
� '1 ` ��� �' - - 7 i -
-:/-- rs 7-1 !"�' -,
r
(7',, ''n , j�-
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
_ - 1 1
Residential Sanitary Sewer Service
Compliance Inspection
Date ( C 1 / 9 1
A
Name ti ��'V/) /1
PID Number
House Number 70 Street Name
Alternative Mailing Address
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
Roots
4" to 6 "Transition:
White Copy: Property Owner
Time /1 • ,(4-
47/ /i' Disk#
OwnerlOccupant Signature
Non - Compliance
0
O
O
0
0
Transition
i r■Siai
CAsvv-
0 am
De-pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Fagan
Record Number
Ph,Qne
I
Time
inspector Signature
•
Obstruction
Unable to push past
feet
Final Cleanout:
•
• 0 p
0 am
t
For information call 651.470.2788
No Access
1
O Access to service
lateral needed
0 Inspection
refused
J
a,Y
No one in
Entered S.L.at
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe #
!_-
-'Pink Copy: SEH