4250 Diamond Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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4111111
City of Iaaa
Residential Sanitary Sewer Service
Compliance Inspection
Date 6) /1 a 7 1 f r
Name /1/4" 4 Disk #
(3AC / )
PID Number
Alternative Mailing Address
4" to 6 "Transition:
White Copy: Property Owner
! � p'am
T ime f/ • p pm
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
} • No sump pump
t
sL+.
Total
Correctly
0
Incorrectly
V
7
House Number C Street Name �' ✓%� „604-
For information call 651.470.2188
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
Roots . 6 Li "".
� 1 6 u • 0 ( Length of Service: c''')
Number Discharged
Unknown
Record Number
_ ) am
Time • _ O Or
Phone , ) Z A r
• / Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L. at / = = 0 ._
PoorPipeJoints Z fir` f /'� -),
Mineral Deposits /A ' ' 2 / )
,t" /
Sag /Pipe Deflection ;
Damaged Pipe
Transition
--;
Final Cleanout:
Notes .. r --- 44:474 ;s
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6.4 .t /
(;✓,2 - -1 /LC tr
to e,'tr , � s' -- �� , :
Yellow Copy: City of Eagan, r fi Pink Copy: SEH
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