4025 Diamond Pt - Inspection Form4010.
tit of Eaian
Residential Sanitary Sewer Service
Compliance Inspection
"7,
Date-.
Name
Mineral Deposits
4" to 6" Transition:
/ Disk
White Copy: Property Owner
o am
Time •
Pm
PD Number
, 7--
House Number Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
2
No foundation drain connection
,CD No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
For information call 65L470.2788
,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 Entered S L at
Roots
Poor Pipefoints
Yellow Copy: City of Eagan
Record Number
0,am
Fj Time pm
Phone 63
1
Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Sag/Pipe Deflection
Damaged Pipe
Transition
O Access to service
lateral needed
O Inspection
refused
I . 0
Length of Service: ---- Final Cleanout: /,
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
Foundation drains
M
Roof drains
4010.
tit of Eaian
Residential Sanitary Sewer Service
Compliance Inspection
"7,
Date-.
Name
Mineral Deposits
4" to 6" Transition:
/ Disk
White Copy: Property Owner
o am
Time •
Pm
PD Number
, 7--
House Number Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
2
No foundation drain connection
,CD No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
For information call 65L470.2788
,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 Entered S L at
Roots
Poor Pipefoints
Yellow Copy: City of Eagan
Record Number
0,am
Fj Time pm
Phone 63
1
Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Sag/Pipe Deflection
Damaged Pipe
Transition
O Access to service
lateral needed
O Inspection
refused
I . 0
Length of Service: ---- Final Cleanout: /,
Pink Copy: SEH