1996 Diffley Rd - Inspection FormCity of Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Daat
Name
tr
i/ 1d 3 1
s
PID Number
, House Number ) "-J. (!?, Street
Alternative Mailing Address
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 Number of stacks
4" to 6 "Transition:
White Copy: Property Owner
. 000 O am
Time : • p
Disk #
Name
11 A
OwnerfOccuan Signure
Non — Compliance
ITE-CE [
1
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible surnp pump piping
Length of Service:
Record Number
Time
Yellow Copy: City of Eagan l
•
•
O a€n
O pm
l = C
Phone
r ` F
Inspector Signature
For information call 651.470.2788
Obstruction No Access
Unable to push past O No one in
feet
Access to service
lateral needed
O Inspection
refused
Entered S.L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink
cki
opy:H
Total
R tes
=
-.7
_
1
d
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i
:� 7 <_- -� �_'., ! ✓, - ,. .: ,.,
7.1
r
'�/
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
ii
City of Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Daat
Name
tr
i/ 1d 3 1
s
PID Number
, House Number ) "-J. (!?, Street
Alternative Mailing Address
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 Number of stacks
4" to 6 "Transition:
White Copy: Property Owner
. 000 O am
Time : • p
Disk #
Name
11 A
OwnerfOccuan Signure
Non — Compliance
ITE-CE [
1
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible surnp pump piping
Length of Service:
Record Number
Time
Yellow Copy: City of Eagan l
•
•
O a€n
O pm
l = C
Phone
r ` F
Inspector Signature
For information call 651.470.2788
Obstruction No Access
Unable to push past O No one in
feet
Access to service
lateral needed
O Inspection
refused
Entered S.L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink
cki
opy:H