4178 Diamond Dr - Inspection FormCity of Eq ,aii
Residential Sanitary Sewer Service
Compliance Inspection
Date 77/ / Time 6K o pm
Name 47 r
4 it1(
PID N tuber
House Number
Alternative Mailing Address
For information call 651.470.2788
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
4" to b" Transition:
White Copy: Pr operty Owner
Disk #
Street Name
OwnerlOccupant Signature
0
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 7 7 , 6O
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection 7 ?
Damaged Pipe
Transition
Length of Service: t
Yellow Copy: City of Eagan
Record Number
z
Time V { •
▪ Cc y m
Phone , i ) r - /7 Kge.
1 � ' l'
l
,lr{spector Signature
Obstruction No Access
Unable to push past 0 No one in
feet,
Entered 5 L.at
O Inspection
refused
`51147%!rC` f
O Access to service
lateral needed
Final Cleanout: a41: e -A./
Pink Copy: SEH
Number
Correctly
y
Discharged
Incorrect) nknown`
y U
Notes ..._ � 6 A., , 1 7 " 1 6-07 /�:�^ --1
1 ? , .c t S - "y (' 1? „, ,%4 " C ' ,0
4, . f
,- " / .a %. - - �
1
Total
Sum um s
P pumps
_.
_...w --
-W e �-
Foundation drains
rx ,____--
Roof drains
___ __._.__.
....-__.
City of Eq ,aii
Residential Sanitary Sewer Service
Compliance Inspection
Date 77/ / Time 6K o pm
Name 47 r
4 it1(
PID N tuber
House Number
Alternative Mailing Address
For information call 651.470.2788
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
4" to b" Transition:
White Copy: Pr operty Owner
Disk #
Street Name
OwnerlOccupant Signature
0
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 7 7 , 6O
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection 7 ?
Damaged Pipe
Transition
Length of Service: t
Yellow Copy: City of Eagan
Record Number
z
Time V { •
▪ Cc y m
Phone , i ) r - /7 Kge.
1 � ' l'
l
,lr{spector Signature
Obstruction No Access
Unable to push past 0 No one in
feet,
Entered 5 L.at
O Inspection
refused
`51147%!rC` f
O Access to service
lateral needed
Final Cleanout: a41: e -A./
Pink Copy: SEH