2070 Flint Dr - Inspection FormNotes
Number Discharged
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> -
{"
� '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
441 1 0 . •
fray of Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name '��� 'f ) J �K / Disk #
fir
PID Number
House Number
Alternative N4 iling Address
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
r '
Transition 0
4" to 6 "Transition:
White Copy: Property Owner
OwnerlOccupant Sigature
Compliance
O No foundation drain connection
No roof drain connection
)Street Name
Service Late ral Inspection Findings
Roots
J • 'O am
Time ) • pm
Non - Compliance
! x7 1 71- 7
Time
Phone
Obstruction
O Clear water connections to Unable to push past
sanitary sewer _ feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered S_L_at
Length of Service: 7 )
Yellow Copy: City of Eagan
Record Number
p f • o am
• fpm
Inspect *Signature
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
N otes
f
- ;/ > / -'
r � T r
l °^%
r,
/
f � e : `
? �- f x
f
f �
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
PP P
,�
Foundation drains
V
A
Roof drains
y '
J 1'
441 1 0 . •
fray of Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name '��� 'f ) J �K / Disk #
fir
PID Number
House Number
Alternative N4 iling Address
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
r '
Transition 0
4" to 6 "Transition:
White Copy: Property Owner
OwnerlOccupant Sigature
Compliance
O No foundation drain connection
No roof drain connection
)Street Name
Service Late ral Inspection Findings
Roots
J • 'O am
Time ) • pm
Non - Compliance
! x7 1 71- 7
Time
Phone
Obstruction
O Clear water connections to Unable to push past
sanitary sewer _ feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks Entered S_L_at
Length of Service: 7 )
Yellow Copy: City of Eagan
Record Number
p f • o am
• fpm
Inspect *Signature
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH