2074 Flint Dr - Inspection FormCity of
Residential Sanitary Sewer Service
Compliance Inspection
Date ti l,1 / !(7
Name j A ' / . 1 C r p Disk #
PID Number
House Number
Aj ernative Mailing Address
Compliance
No foundation drain connection 0
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 ( No sump pump 0
Service L teral 1 spection Findings
� � w . i
Roots
Poor Pipe Joints
4" to 6" Transition:
White Copy: Property Owner
Time
r Owner /Occupant Signature
" /uttts'
Street Name
1
am
pm
T
E f
z -.
Non - Compliance
Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible surnp pump piping
Number- ,tacks '1 � S L,at
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
7 ? 1
i i
if ,
Obstruction
Unable to push past
feet
•� em
Time r • O pm
Phone 7 ._.. s _ ()
Inspector Signature
For information call 65
C %
J . Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number.
Correctly
Discharged
Incorrectly Unknown
Notes
— i n
Total
Sump pumps
.. !j
Foundation drains
- -
Roof drains
j
1 6171 I
City of
Residential Sanitary Sewer Service
Compliance Inspection
Date ti l,1 / !(7
Name j A ' / . 1 C r p Disk #
PID Number
House Number
Aj ernative Mailing Address
Compliance
No foundation drain connection 0
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 ( No sump pump 0
Service L teral 1 spection Findings
� � w . i
Roots
Poor Pipe Joints
4" to 6" Transition:
White Copy: Property Owner
Time
r Owner /Occupant Signature
" /uttts'
Street Name
1
am
pm
T
E f
z -.
Non - Compliance
Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible surnp pump piping
Number- ,tacks '1 � S L,at
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
7 ? 1
i i
if ,
Obstruction
Unable to push past
feet
•� em
Time r • O pm
Phone 7 ._.. s _ ()
Inspector Signature
For information call 65
C %
J . Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH