4337 Onyx Dr - Inspection FormCit of Flap
Residential Sanitary Sewer Service
Compliance Inspection
Date TZ7 . !
Name Disk #
AID Number
House Number
Alternative Mailing Address
For information call 651
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
4" to 6" Transition:
White Copy: Property Owner
< ( f Street Name
•
j.`.r
'OwnerlOccupant Signature
Service Lateral Inspection Findings/
?5 J /
Roots / _- , f
Time J
Pm
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition - ) 4'7 f 4 p
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
I
Number of stacks Entered S . at
Length of Service: , " t.
Yellow Copy: City of Eagan
Record Number
Time J •
Phone `>
Inspetior Signature
Obstruction
Unable to push past
feet
Notes
/
1 l
'1
0am
Pm
Final Cleanout:
!/
No Access
O No one yn
O Access to service
lateral needed
O Inspection
refused
/
Pink Copy: SEH
Total
Number.
Discharged
•
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
( `
�•
Roof drains
`
l r
Cit of Flap
Residential Sanitary Sewer Service
Compliance Inspection
Date TZ7 . !
Name Disk #
AID Number
House Number
Alternative Mailing Address
For information call 651
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
4" to 6" Transition:
White Copy: Property Owner
< ( f Street Name
•
j.`.r
'OwnerlOccupant Signature
Service Lateral Inspection Findings/
?5 J /
Roots / _- , f
Time J
Pm
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition - ) 4'7 f 4 p
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
I
Number of stacks Entered S . at
Length of Service: , " t.
Yellow Copy: City of Eagan
Record Number
Time J •
Phone `>
Inspetior Signature
Obstruction
Unable to push past
feet
Notes
/
1 l
'1
0am
Pm
Final Cleanout:
!/
No Access
O No one yn
O Access to service
lateral needed
O Inspection
refused
/
Pink Copy: SEH