2037 Flint Lane - Inspection FormsSump pumps
- ,
Foundation drains
Roof drains
,� ,
Residential Sanitary Sewed` Service
Compliance inspection
Date 0/1 I(2// /9
Names / CF'c' Disk #
HD Number.
House Number 0 (2 Street Name _ 91/
Alternative Mailing Address
Owner /Occupant Signature
For information call 651 470:2788
Compliance
. foundation drain connection
`No roof drain connection
4
Sum
ump pit not connected to
sanitary sewer
O Sump pump properly piped
C7� No sump pump
Service Lateral Inspection Findings Number of stacks Z Entered S L,at ..1-C/fei<Y?"1 ' 7 th
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection `
Damaged Pipe
Transition
4" to 6" Transition: (, "��
White Copy, Proper ty Owner
Total
r' • / • Time /C �f� E O pm
0
y
0
Correctly
- O am
- W —[�eJ
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:
Number Discharged
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
A10 4 " n
�1 /t / /
0 . .o Q., am
Tune e O pm
Phone•
ri
inspector Signature
Obstruction
Un ble >.tio push past
✓ feet
7.1-650 . /%�c ' 'Oi Y
° /) s^✓x
No Access
O No one in
'mot• -..,,., Final Cleanout: f '
O Access to service
lateral needed
O Inspection
refused
Notes _
777,
A
/VC.)
Pink Copy: SEH
Clly o[. Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date i C / /' 1 /C
Name 20 e /2./'� -v' „C"
PID Number
House Number 2 Street Name
Alternative Mailing Address Phone ( '$ 7 }
•
OwnerlOccupant 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
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
I f� Cam
Time f- o r pm
Disk #
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:
0
Record Number
I f j) Qam
Time • Q pm
D
7 / Inspector Signature
Obstruction
Unable to push past
feet,
,+,,
Number of stacks 1 Entered S. L. at J / I( f
q 1 I
l f1c v f / . ".. A- 9 f / ti
Yellow Copy: City of Fagan
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout: ,' 1%
Pink Copy: SEH
Total
Notes �! /�
._:
C� �^�
' %
f , J
a
r�
� C �'` "� °)
Cl sue✓
Number•
Discharged
Correctly
Incorrect) Unknown
Sump pumps
Foundation drains
....�.
Roof drains
Clly o[. Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date i C / /' 1 /C
Name 20 e /2./'� -v' „C"
PID Number
House Number 2 Street Name
Alternative Mailing Address Phone ( '$ 7 }
•
OwnerlOccupant 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
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
I f� Cam
Time f- o r pm
Disk #
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:
0
Record Number
I f j) Qam
Time • Q pm
D
7 / Inspector Signature
Obstruction
Unable to push past
feet,
,+,,
Number of stacks 1 Entered S. L. at J / I( f
q 1 I
l f1c v f / . ".. A- 9 f / ti
Yellow Copy: City of Fagan
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout: ,' 1%
Pink Copy: SEH
Sump pumps
- ,
Foundation drains
Roof drains
,� ,
Residential Sanitary Sewed` Service
Compliance inspection
Date 0/1 I(2// /9
Names / CF'c' Disk #
HD Number.
House Number 0 (2 Street Name _ 91/
Alternative Mailing Address
Owner /Occupant Signature
For information call 651 470:2788
Compliance
. foundation drain connection
`No roof drain connection
4
Sum
ump pit not connected to
sanitary sewer
O Sump pump properly piped
C7� No sump pump
Service Lateral Inspection Findings Number of stacks Z Entered S L,at ..1-C/fei<Y?"1 ' 7 th
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection `
Damaged Pipe
Transition
4" to 6" Transition: (, "��
White Copy, Proper ty Owner
Total
r' • / • Time /C �f� E O pm
0
y
0
Correctly
- O am
- W —[�eJ
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:
Number Discharged
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
A10 4 " n
�1 /t / /
0 . .o Q., am
Tune e O pm
Phone•
ri
inspector Signature
Obstruction
Un ble >.tio push past
✓ feet
7.1-650 . /%�c ' 'Oi Y
° /) s^✓x
No Access
O No one in
'mot• -..,,., Final Cleanout: f '
O Access to service
lateral needed
O Inspection
refused
Notes _
777,
A
/VC.)
Pink Copy: SEH
Clly o[. Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date i C / /' 1 /C
Name 20 e /2./'� -v' „C"
PID Number
House Number 2 Street Name
Alternative Mailing Address Phone ( '$ 7 }
•
OwnerlOccupant 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
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
I f� Cam
Time f- o r pm
Disk #
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:
0
Record Number
I f j) Qam
Time • Q pm
D
7 / Inspector Signature
Obstruction
Unable to push past
feet,
,+,,
Number of stacks 1 Entered S. L. at J / I( f
q 1 I
l f1c v f / . ".. A- 9 f / ti
Yellow Copy: City of Fagan
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout: ,' 1%
Pink Copy: SEH
Total
Notes �! /�
._:
C� �^�
' %
f , J
a
r�
� C �'` "� °)
Cl sue✓
Number•
Discharged
Correctly
Incorrect) Unknown
Sump pumps
Foundation drains
....�.
Roof drains
Clly o[. Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date i C / /' 1 /C
Name 20 e /2./'� -v' „C"
PID Number
House Number 2 Street Name
Alternative Mailing Address Phone ( '$ 7 }
•
OwnerlOccupant 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
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
I f� Cam
Time f- o r pm
Disk #
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:
0
Record Number
I f j) Qam
Time • Q pm
D
7 / Inspector Signature
Obstruction
Unable to push past
feet,
,+,,
Number of stacks 1 Entered S. L. at J / I( f
q 1 I
l f1c v f / . ".. A- 9 f / ti
Yellow Copy: City of Fagan
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout: ,' 1%
Pink Copy: SEH