2003 Diffley Rd - Inspection FormCity of Lea
Residential Sanitary Sewer Service
Compliance Inspection
Date (2/ y r / f ; Time 1 s S 0 t] a p m m
Name / 11, 4-24
PID Number
House Number
,--) -
Alternative Mailing Address
erg a
Owne /Occupant Signatur
For information call 651.470.2788
Disk #
,
Compliance /W
No foundation drain connection ,
,Q No roof drain connection
J•
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
9 No sump pump
Service Lateral Inspection Findings
Street Name
5
5
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
White Copy: Property Owner
4" to 6" Transition: // j ' �- Length of Service:
b {i11/l�F i /
•
Yellow Copy: City of Eagan
Record Number
3
Time!
Phone 4-1
„nspector Signature
Obstruction
Unable to push past
feet
Entered S..L.at i1
0 a
O
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Damaged Pipe
Transition if fi.t / J I (i / A J / / i i f7 r j 7-a- ' r a °r-) ,n -
f r �
y r° Final Cleanout: / f
Pink Copy: SEH
Total
Notes
i
/
' it.,�', ";y
j/,7
7
.
Si
ZE r
1
L
� '
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
M__
Foundation drains
®
Roof drains
"1✓.
-
. _..�.__.�
City of Lea
Residential Sanitary Sewer Service
Compliance Inspection
Date (2/ y r / f ; Time 1 s S 0 t] a p m m
Name / 11, 4-24
PID Number
House Number
,--) -
Alternative Mailing Address
erg a
Owne /Occupant Signatur
For information call 651.470.2788
Disk #
,
Compliance /W
No foundation drain connection ,
,Q No roof drain connection
J•
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
9 No sump pump
Service Lateral Inspection Findings
Street Name
5
5
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
White Copy: Property Owner
4" to 6" Transition: // j ' �- Length of Service:
b {i11/l�F i /
•
Yellow Copy: City of Eagan
Record Number
3
Time!
Phone 4-1
„nspector Signature
Obstruction
Unable to push past
feet
Entered S..L.at i1
0 a
O
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Damaged Pipe
Transition if fi.t / J I (i / A J / / i i f7 r j 7-a- ' r a °r-) ,n -
f r �
y r° Final Cleanout: / f
Pink Copy: SEH