2053 Flint Lane - Inspection FormResidential Sanitary Sewer Service
Comp lance inspection
Name a ! }- - 7 - !' 1 Disk #
PID Number
House Number (" Street Name
Alternative Mailing Address
L
Owner /Occupant Signature
For information call 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
Transition
Service Lateral inspection Findings Number of stacks 1 4 Entered S. at
Roots ;, ; ` --),
Poor Pipe Joints
Mineral Deposits
Pipe Deflection 0 3 .,
Damaged Pipe
4" to 6 "Transition: "
White Copy: Property Owner
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
Length of Service:
Notes
Time
• `_ 3
Phone �
•
Inspector -- Signature
Obstruction
Unable to push past
feet
}
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: �}
Yellow Copy: City of Eagan Pink Copy: SEH
Number_
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
rJ
Foundation drains
7
Roof drains
71
Residential Sanitary Sewer Service
Comp lance inspection
Name a ! }- - 7 - !' 1 Disk #
PID Number
House Number (" Street Name
Alternative Mailing Address
L
Owner /Occupant Signature
For information call 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
Transition
Service Lateral inspection Findings Number of stacks 1 4 Entered S. at
Roots ;, ; ` --),
Poor Pipe Joints
Mineral Deposits
Pipe Deflection 0 3 .,
Damaged Pipe
4" to 6 "Transition: "
White Copy: Property Owner
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
Length of Service:
Notes
Time
• `_ 3
Phone �
•
Inspector -- Signature
Obstruction
Unable to push past
feet
}
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: �}
Yellow Copy: City of Eagan Pink Copy: SEH