2057 Flint Lane - Inspection FormSump pumps
Foundation drains
- ✓i
Roof drains
City or tapo
Residential Sanitary Sewer Service
Compliance Inspection
Date .` /
Name *
PID Number.
House Number ,, r' Street Name
Alternative Mailing Address -
•
For information cap: 651. 470: 2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/ No sump pump
Service Lateral Inspection Findi_gs
Roots :. _ ( fi n
0 r
Poor Pipef oints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
r
/.
4" to 5" Transition:
l r' Owner /Occupant Signature
2 y);
White Copy: Proper ty Owner
Total
Time
Disk #
• am
• r pm
2)
1
•
Length of Service:
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
Number of stacks 4] Entered S L at
Number Discharged
Correctly
Incorrectly Unknown
Record Number
Phone 7/..— °
Obstruction
Unable to push past
feet
Notes
Time I
Inspector Signature
p am
• pm
Final Cleanout: t'
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Yellow Copy: City of Eagan Pink Copy: SEH