2030 Flint Lane - Inspection FormsCity [Eau]
Residential Sanitary Sewer Service
Compliance Inspection
Date l / ! /
Name
t
Alternative MailingAddress
Compliance
A 0 No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 No sump pump
r
Disk #
- -
OwnerlOccupant 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
PID Number
House Number[' ) C ' ?Street Name
For information call 65
Service Lateral Inspection Findings N} nber of stacks Entered
Roots 1, ' / )(.1
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
White Copy: Pr operty Owner
Phone / <� 0 __� LT . t
i f
Yellow Copy: City of Eagan
Record Number "1
Obstruction
Unable to push past
feet
Notes
?'
„gamma..
ime
PF m
Inspector Signature
L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1.-4 :;/
Final Cleanout: J ?
Pink Copy: SEH
Total
Number Discharged-
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
L. -1
City [Eau]
Residential Sanitary Sewer Service
Compliance Inspection
Date l / ! /
Name
t
Alternative MailingAddress
Compliance
A 0 No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 No sump pump
r
Disk #
- -
OwnerlOccupant 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
PID Number
House Number[' ) C ' ?Street Name
For information call 65
Service Lateral Inspection Findings N} nber of stacks Entered
Roots 1, ' / )(.1
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
White Copy: Pr operty Owner
Phone / <� 0 __� LT . t
i f
Yellow Copy: City of Eagan
Record Number "1
Obstruction
Unable to push past
feet
Notes
?'
„gamma..
ime
PF m
Inspector Signature
L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1.-4 :;/
Final Cleanout: J ?
Pink Copy: SEH
City [Eau]
Residential Sanitary Sewer Service
Compliance Inspection
Date l / ! /
Name
t
Alternative MailingAddress
Time
Disk #
- -
OwnerlOccupant Signature
Compliance
A 0 No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 No sump pump
r
1-420 am
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
PID Number
House Number[' ) C ' ?Street Name
For information call 65
Service Lateral Inspection Findings N} nber of stacks Entered
Roots 1, ' / )(.1
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Record Number "1
ime
PF m
i
Phone / 0 LT . t f
Length of Service:
Yellow Copy: City of Eagan
Inspector Signature
Obstruction
Unable to push past
feet
L at
Notes
?'
.V....-1,.'_'_. . '
Final Cleanout: J ?
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number Discharged-
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
L. -1
City [Eau]
Residential Sanitary Sewer Service
Compliance Inspection
Date l / ! /
Name
t
Alternative MailingAddress
Time
Disk #
- -
OwnerlOccupant Signature
Compliance
A 0 No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 No sump pump
r
1-420 am
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
PID Number
House Number[' ) C ' ?Street Name
For information call 65
Service Lateral Inspection Findings N} nber of stacks Entered
Roots 1, ' / )(.1
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Record Number "1
ime
PF m
i
Phone / 0 LT . t f
Length of Service:
Yellow Copy: City of Eagan
Inspector Signature
Obstruction
Unable to push past
feet
L at
Notes
?'
.V....-1,.'_'_. . '
Final Cleanout: J ?
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH