2034 Flint Lane - Inspection FormsResidential Sanitary Sewer Service
1 ity oI Fah° Compliance Inspection
Date 06 f / 1 /c
Name i' :- 3
Compliance
O k — No foundation drain connection
6 - - No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ No sump pump
4" to 6 "Transition:
711 .
White Copy: Property Owner
k'14.
Time '�` •.�i! p pm
Disk #
Owner /Occupant Signature
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:
Record Number
PID Number
House Number . 02 Street Name .. Z /47 .
Alternative Mailing Address
Time
Obstruction
Unable to push past
feet
•
Inspector Signature
For information call :651.470.2788
Final Cleanout:
O am
O pm
No Access
O
O Access to service
lateral needed
O inspection
refused
No one in
Service Later Inspection indin s w Number of stack* Entered S.L.at — �'
Roots / j Ai C o ! r ° , s� r ff ;
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection }'
Damaged Pipe }
Transition /r> 1 7 f et ` " `1 tf
Notes if'C ep #
eglemrio
Ivy 6r`
CS? -To) ?44
ee
( o(', Pko4w,
csp*;,t_.
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
P P um p
.__._. -° .�..,..._.�..
_..
Foundation drains
,�
�
..._____.__.. _
Roof drains
_—
Residential Sanitary Sewer Service
1 ity oI Fah° Compliance Inspection
Date 06 f / 1 /c
Name i' :- 3
Compliance
O k — No foundation drain connection
6 - - No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ No sump pump
4" to 6 "Transition:
711 .
White Copy: Property Owner
k'14.
Time '�` •.�i! p pm
Disk #
Owner /Occupant Signature
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:
Record Number
PID Number
House Number . 02 Street Name .. Z /47 .
Alternative Mailing Address
Time
Obstruction
Unable to push past
feet
•
Inspector Signature
For information call :651.470.2788
Final Cleanout:
O am
O pm
No Access
O
O Access to service
lateral needed
O inspection
refused
No one in
Service Later Inspection indin s w Number of stack* Entered S.L.at — �'
Roots / j Ai C o ! r ° , s� r ff ;
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection }'
Damaged Pipe }
Transition /r> 1 7 f et ` " `1 tf
Notes if'C ep #
eglemrio
Ivy 6r`
CS? -To) ?44
ee
( o(', Pko4w,
csp*;,t_.
Yellow Copy: City of Eagan Pink Copy: SEH
Residential Sanitary Sewer Service
1 ity oI Fah° Compliance Inspection
Date 06 f / 1 /c
Name i' :- 3
Compliance
O k — No foundation drain connection
6 - - No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ No sump pump
4" to 6 "Transition:
711 .
White Copy: Property Owner
k'14.
Time '�` •.�i! p pm
Disk #
Owner /Occupant Signature
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:
Record Number
PID Number
House Number . 02 Street Name .. Z /47 .
Alternative Mailing Address
Time
Obstruction
Unable to push past
feet
•
Inspector Signature
For information call :651.470.2788
Final Cleanout:
O am
O pm
No Access
O
O Access to service
lateral needed
O inspection
refused
No one in
Service Later Inspection indin s w Number of stack* Entered S.L.at — �'
Roots / j Ai C o ! r ° , s� r ff ;
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection }'
Damaged Pipe }
Transition /r> 1 7 f et ` " `1 tf
Notes if'C ep #
eglemrio
Ivy 6r`
CS? -To) ?44
ee
( o(', Pko4w,
csp*;,t_.
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
P P um p
.__._. -° .�..,..._.�..
_..
Foundation drains
,�
�
..._____.__.. _
Roof drains
_—
Residential Sanitary Sewer Service
1 ity oI Fah° Compliance Inspection
Date 06 f / 1 /c
Name i' :- 3
Compliance
O k — No foundation drain connection
6 - - No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ No sump pump
4" to 6 "Transition:
711 .
White Copy: Property Owner
k'14.
Time '�` •.�i! p pm
Disk #
Owner /Occupant Signature
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:
Record Number
PID Number
House Number . 02 Street Name .. Z /47 .
Alternative Mailing Address
Time
Obstruction
Unable to push past
feet
•
Inspector Signature
For information call :651.470.2788
Final Cleanout:
O am
O pm
No Access
O
O Access to service
lateral needed
O inspection
refused
No one in
Service Later Inspection indin s w Number of stack* Entered S.L.at — �'
Roots / j Ai C o ! r ° , s� r ff ;
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection }'
Damaged Pipe }
Transition /r> 1 7 f et ` " `1 tf
Notes if'C ep #
eglemrio
Ivy 6r`
CS? -To) ?44
ee
( o(', Pko4w,
csp*;,t_.
Yellow Copy: City of Eagan Pink Copy: SEH