2014 Diffley Rd - Inspection FormSump pumps
Foundation drains
��
Roof drains
. ` Cit of Ca a
Y � s
Residential Sanitary Sewer Service
Compliance Inspection
Date4J4Z/ f / Time
L
i
Name AA ,- ? J/? Disk #
PID Number
House Number i ; Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
No foundation drain connection
/ 1 No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral lnspectian Findings fj
Roots 1 !J
Poor EiPojoints --� /'
I
9!
4" to 6" Transition:
Total
p
1
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
Number of stacks - 4 / Entered S L at
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
i
Transition r ": / }
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
White Copy: Pr oper ty Owner
Record Number '
7-
Notes
Phone CI?
Time
• _ _, . •
inspector Signature
Obstruction
Unable to push past
feet
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
tr
Final Cleanout: 1T {
Yellow Copy: City of Eagan Pink Copy: SEH