4358 Diamond Dr - Inspection Form.
Lail OA dp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
/`r
Compliance
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
r
White Copy: Property Owner
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/e No sump pump
Service Lateral Inspection Finddngs
Roots r :/
Sag /Pipe Deflection
Damaged Pipe
E ; �f
Transition r , �` �( -472
1 IDc' o am
Time 1&y p
isk #
T�Street Name
Alternative Mailing Address Phone
//
OwnerIOtupant Signature
For information call 651.470.2788
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
v
Number of stacks .�
J
Record Number
Entered S L at
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet .
n
ime
4 am
•
• prn
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
F
Y ,f
Length of Service: r Final Cleanout: I t r '•-
Pink Copy: SEH
Number Discharged
Correctly Incorrectly Unknown
MI S
--
Notes
,,---- ,.a %3 -2) /41-;1
..1
Total
Sump pumps
' `
Foundation drains
Roof drains
,mot c )/ -- - - . —'
.
Lail OA dp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
/`r
Compliance
Poor Pipe Joints
Mineral Deposits
4" to 6" Transition:
r
White Copy: Property Owner
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
/e No sump pump
Service Lateral Inspection Finddngs
Roots r :/
Sag /Pipe Deflection
Damaged Pipe
E ; �f
Transition r , �` �( -472
1 IDc' o am
Time 1&y p
isk #
T�Street Name
Alternative Mailing Address Phone
//
OwnerIOtupant Signature
For information call 651.470.2788
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
v
Number of stacks .�
J
Record Number
Entered S L at
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet .
n
ime
4 am
•
• prn
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
F
Y ,f
Length of Service: r Final Cleanout: I t r '•-
Pink Copy: SEH