2002 Diffley Rd - Inspection FormCity of Ea aq
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 11 Zp / /0
Name 4 YH )6 Disk #
PID Number
House Number
Alternative Mailing Address
✓I .,
- .- -----^
OwnerlOccupant Signature
Compliance
O r No foundation drain connection
y ,,Cr No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Mineral Deposits -'
Sag /Pipe Deflection
Damaged Pipe
/1s0 / � e.- C2t 7
4" to 6 "Transition:
2.007
White Copy: Proper Owner
Time
/T
o am
pm
0
7
Street Name '
Length of Service:
Yellow Copy: City of Eagan
1
0
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
w./
Obstruction
Unable to push past
feet
Entered S..L at 5 -7f
57,k9-1(z,W49
7 , • o am
Time d • --> q'pm
Phone (Z;/ 2Y--51(C
j�spectar Sign
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks
OTC Roots ,...4.--S- , 4 f.
Poor Pipe Joints - i l�I"" , ��'- rl,
Pink Copy: SEH
Number Discharge
Notes
l >';_#, , �,
Total
Correctly
Incorrectly
Unknown
�,t ,
its °
Sump pumps
(
#
Foundation drains
f ° .
w
Roof drains
----e
_ ._._._ ____..__,._
City of Ea aq
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 11 Zp / /0
Name 4 YH )6 Disk #
PID Number
House Number
Alternative Mailing Address
✓I .,
- .- -----^
OwnerlOccupant Signature
Compliance
O r No foundation drain connection
y ,,Cr No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Mineral Deposits -'
Sag /Pipe Deflection
Damaged Pipe
/1s0 / � e.- C2t 7
4" to 6 "Transition:
2.007
White Copy: Proper Owner
Time
/T
o am
pm
0
7
Street Name '
Length of Service:
Yellow Copy: City of Eagan
1
0
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number
w./
Obstruction
Unable to push past
feet
Entered S..L at 5 -7f
57,k9-1(z,W49
7 , • o am
Time d • --> q'pm
Phone (Z;/ 2Y--51(C
j�spectar Sign
For information call 651.470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks
OTC Roots ,...4.--S- , 4 f.
Poor Pipe Joints - i l�I"" , ��'- rl,
Pink Copy: SEH