2025 Flint Lane - Inspection FormCity of Ealaii
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Th
Name L Disk
MD Number
,-- 2 ---
House Number _„ ..-- (-.... ...D
_..4 -,Street Name ) ) 4
/
Alternative Mailing Address Phone /A 1 7 ) - (-;:-- -) -- --
For information call 651.470.2788
Sump pit not connected to
sanitary sewer
Sump pump properly piped
b No sump pump
pliance
No foundation drain connection
No roof drain connection
Service Lateral inspection Findings
Roots 7 )
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White CopyrTroper ty Owner
) am
Time • p
`11
OwnerlOccupant Signature
Time / • •
Non-Compliance
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
Numb r st 0<s
-f
Record Number
Obstruction
Inspector Signature
Entered St.at
77"
am
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
71
.." 0
i
2- 7Y
f
Length of Service:
Yellow Copy: City of Eagan
2 1 j Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
A
Foundation drains
Roof drains
City of Ealaii
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Th
Name L Disk
MD Number
,-- 2 ---
House Number _„ ..-- (-.... ...D
_..4 -,Street Name ) ) 4
/
Alternative Mailing Address Phone /A 1 7 ) - (-;:-- -) -- --
For information call 651.470.2788
Sump pit not connected to
sanitary sewer
Sump pump properly piped
b No sump pump
pliance
No foundation drain connection
No roof drain connection
Service Lateral inspection Findings
Roots 7 )
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White CopyrTroper ty Owner
) am
Time • p
`11
OwnerlOccupant Signature
Time / • •
Non-Compliance
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
Numb r st 0<s
-f
Record Number
Obstruction
Inspector Signature
Entered St.at
77"
am
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
71
.." 0
i
2- 7Y
f
Length of Service:
Yellow Copy: City of Eagan
2 1 j Final Cleanout:
Pink Copy: SEH