2018 Flint Lane - Inspection Formn
Number Discharged
Notes - 6. co i/6.1,,,,,,,_, ,1,A,
"S ---- /177.-7
r
Correctly Incorrectly
Unknown
Sump pumps
Foundation drains
<_ __.
Roof drains
- ._.--_.__
- _._._ ___ ..__. ____ ._..
_ . --
City of EaEda
Residential Sanitary Sewer Service
•
Compliance Inspection
Date t2(1 / 1 /r
er
Name -<
ame �, , &1:,".6 art/ f
PID Number
Alternative Mailing Address
Owner /Occupant Signature
Co pliance
.p No foundation drain connection
/Q No roof drain connection
0 Sump pit not connected to
sanitary sewer
K 0 Sump pump properly piped
No sump pump
Poor Pipejoints
Mineral Deposits
4" to 6" Transition:
White Copy: Proper ty Owner
- rzf'
Le4/1 J i r
Al
}
Time / : G' per,
Disk #
c2
House Number 2'C / Street Name
SaglPipe Deflection ��✓f =_
Damaged Pipe
Transition ! 1 -v
C 2
oi
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
Service Lateral Inspection Findings ✓ Number of stacks
Roots / ' r#- ° r y '4 1
� /
Record Number
I' ime • • !J O pm
' •2 C"5
Fnone `.. f
"1 % = .
i i
%inspector Signat
For information call 651-470-2788
Obstruction
Unable to push past
feet
Entered S.L.at /. �_
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Length of Service:
Final Cleanout: Yf
Yellow Copy: City of Eagan Pink Copy: SEH
47 , r :° " 7-t ;
/ .7) r'a� a r„