2021 Flint Lane - Inspection FormCity
Residential Sanitary Sewer Service
Compliance Inspection
Date Ti ri /�- /
Name , . �r ,;` �W Disk #
Alternative Mailing Address.`
/
Compliance
O No foundation drain connection
w
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Owner` /Occuppnt Signature
Service Lateral Inspection Findings Number of stacks
Root"'
4" to 6" Transition:
White Copy: Property Owner
4t • ' o am
Time • 0-
Yellow Copy: City of Eagan
Record Number
Time
• L6 /am
PO Number
House Number 2 .° / Street Name
Phone 41.'.. (2 z 2'r
For information call 651.470.2788
Non Compliance
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: 6
°
inspector Signature
Obstruction
Unable to push past
feet
Entered S L.at .. >; se,c_I (
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Zi
Mineral Deposits / V
Sag /Pipe Deflection
Damaged Pipe 4 /? '
Transition
. 2e Fr
Final Cleano
Pink Copy: SEH
Number Discharged
Unknown
Notes y. . 4
4
Total
Correctly
Incorrectly
Sump pumps
Foundation drains
- 7 - j ° ice , f �j O 3 r
t L1 C- e ` r. ' 4.
I! mil; ',; 77
af, t�,, 6', / <',, ' .�r�
0 .D
Roof drains
, ._.._
._ _
vF)
City
Residential Sanitary Sewer Service
Compliance Inspection
Date Ti ri /�- /
Name , . �r ,;` �W Disk #
Alternative Mailing Address.`
/
Compliance
O No foundation drain connection
w
No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Owner` /Occuppnt Signature
Service Lateral Inspection Findings Number of stacks
Root"'
4" to 6" Transition:
White Copy: Property Owner
4t • ' o am
Time • 0-
Yellow Copy: City of Eagan
Record Number
Time
• L6 /am
PO Number
House Number 2 .° / Street Name
Phone 41.'.. (2 z 2'r
For information call 651.470.2788
Non Compliance
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: 6
°
inspector Signature
Obstruction
Unable to push past
feet
Entered S L.at .. >; se,c_I (
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Zi
Mineral Deposits / V
Sag /Pipe Deflection
Damaged Pipe 4 /? '
Transition
. 2e Fr
Final Cleano
Pink Copy: SEH