2029 Flint Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date 1 i 1 —
it
Name 0
PlD Number ` --
i � Name _ ? --
House Number 33 r� i <_
Phone_ !�? f >-°r 3 t
Alternative Mailing Address ___�—
OwnerlOccupant Sign Jure
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Obstruction
Unable to push past
O Clear water connections to feet
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service:
'oor Pipe joints 1 I ?f f °` ( -r /�. , -
r
r jr��i1 i , 7 �
Mineral Deposits�_1 = i
Sag/Pipe Deflec — ▪ J �. i
tion�� i 1 .
Damaged Pipe . f , �-' ` '��
Transition — ./
r.__I !"1 r.nnni Lt•
O Access to service .
lateral needed
For information': call 651.470.278
Roof drains
White Copy: Property Owner
7(
• �r am
Time - i / 0 pm
Notes
1 err' lr' 7
+ �^
l ana".
4-0 i��' /��/ ali
Record Number ▪ —
g am
• Time �� e —
pm
Inspector Signature
Sump pumps
Foundation drains
Total
Correctly
1 ncorr'ectly
Unknown
Number Discharged
gxnlz Copy: SEH
Yellow Copy: City of Ea , n r )
L.
it.4 � .
f r< <.:
City of Cap
Residential Sanitary Sewer Service
Compliance Inspection
73
Date /
)
Name
House Number
Sag/Pipe Deflection
Damaged Pipe
Transition
PID Njinber
ji
#
Alternative Mailing Address
Compliance =:\
O No foundatton'tirain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump purnp
White Copy: Propet Owner
,
•
Time / •
' .
Owner/Occupant Signature
am
Pm
(2
Street Name
• ; -
,
Service Lateral InsRecOon Findins Number of stays
4 - el ) (2 ".-
Length of Service:
4" to 6" Transition: c:::)c
/ 1
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
Yellow Copy: City of Eagan
Record Number
)
Phone
Entered S L at
- ? 2
Roots /
Poor Pipejoints
Mineral Deposits
For information call 6.51.470.2788
Obstruction
Unable to push past
feet
7)
3-7---
,..- ,-->--/--- --- ..,
) ,-
-
/
;Time
)
am
• ;j
Pm
Inspector Signature
Final Cleanout:
1.771
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
incorrectly
Unknown
Notes / ) 1
,-----„,)
I C.7'
±-
_...
:. KT) .- ..-"'i
. I" 2 '-'-- V ) I j -"--- -.'''' ' =--=A -.•'--.:
'------- -' e' ) ,
--7,
) - ,..,,
.....) _..- .. -,:.. 4.....-"-----..., .: -?........,-,........-,..--
-- • t ..- - I f -- ' --- .i r --- - , -- 72,1
- -; ). / / i" 't - .-- 7"--'" , f:-- - •
, i
Total
Sump pumps
7' ,
''........' -/
--i
Foundation drains / .—__
--..... ---
j
• ,
..,----- ." „,,,z:;,
'..-_-..., .1-- ,f....-,....-.
,L, i...„--,:-_
---- 1- • i f
,--')
, /./.......,',, .
--/- • :
i -
Roof drains
,-
/ 1
%. .1-
--_-,
_... . ).:::::;....-.:k-_, - .4,.
_._-__ .725
City of Cap
Residential Sanitary Sewer Service
Compliance Inspection
73
Date /
)
Name
House Number
Sag/Pipe Deflection
Damaged Pipe
Transition
PID Njinber
ji
#
Alternative Mailing Address
Compliance =:\
O No foundatton'tirain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump purnp
White Copy: Propet Owner
,
•
Time / •
' .
Owner/Occupant Signature
am
Pm
(2
Street Name
• ; -
,
Service Lateral InsRecOon Findins Number of stays
4 - el ) (2 ".-
Length of Service:
4" to 6" Transition: c:::)c
/ 1
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
Yellow Copy: City of Eagan
Record Number
)
Phone
Entered S L at
- ? 2
Roots /
Poor Pipejoints
Mineral Deposits
For information call 6.51.470.2788
Obstruction
Unable to push past
feet
7)
3-7---
,..- ,-->--/--- --- ..,
) ,-
-
/
;Time
)
am
• ;j
Pm
Inspector Signature
Final Cleanout:
1.771
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
City of Capri
Residential Sanitary Sewer. Service
Compliance Inspection
Date I / 92 )// f
Name 9 x -� f ? /bisk #
PID Number
House Number ,' C I Street Name
Alternative Mailing Address
r-.
Time ) • pm
OwnerIOccuparit Signature
For information call 651.470.2788
� npliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
X No sump pump
Service Lateral Inspection Findin s ! Number of stacksEntered St. at Vii
Roots.- d ..
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition:
4" to 6 "Transition
White Copy: Property Owner
Non - Compliance
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
J
Length of Seryicc
ref
'ffiVy
Yellow Copy: City of Eagan
Record Number
Obstruction
Unab t push past
y. feet.
• am
ime _ •
Phone r` = s )
Inspector Signature
Pm
•
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly.-
Unknown
Notes
' "- , ` - -; ' c,.._ ..)'
S pumps
r'
Foundation drains
' °')
ym aC
Roof drains
° `
'
i ,
City of Capri
Residential Sanitary Sewer. Service
Compliance Inspection
Date I / 92 )// f
Name 9 x -� f ? /bisk #
PID Number
House Number ,' C I Street Name
Alternative Mailing Address
r-.
Time ) • pm
OwnerIOccuparit Signature
For information call 651.470.2788
� npliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
X No sump pump
Service Lateral Inspection Findin s ! Number of stacksEntered St. at Vii
Roots.- d ..
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition:
4" to 6 "Transition
White Copy: Property Owner
Non - Compliance
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
J
Length of Seryicc
ref
'ffiVy
Yellow Copy: City of Eagan
Record Number
Obstruction
Unab t push past
y. feet.
• am
ime _ •
Phone r` = s )
Inspector Signature
Pm
•
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH