4098 Diamond Dr - Inspection Forml ; 4
Number Discharged
Notes
r 1
i. ,� ✓ ; 4r(,,J
Total
Correctly
Incorrectly
Unknown
Sump pumps
0 f7'> s rr
� _
Foundation drains
Roof drains
._
4111
City ai• F,a
R
Residential Sanitary Sewer Service
Compliance Inspection
Date O l O ' i Jo .
Name vP�1✓
PID Number
House Number 2 /a /e
Alternative-Mailing Address
Transition
ompliance
i No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
White Copy: Piopeity Owner
Time
Disk #
zy • Q p m
• �p
4" to 6 "Transition: j 6 1 v
Street Name
Owner /Occupant Signature
0
0
3,
Yellow Copy: City of Eagan
{)
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
Record Number
Time
Pho e '2"
/Inspector Signature
fr
For information call +651.470.2788
Obstruction
Unable to push past
feet
Q am
/ • c t pm
1c" ength of Service: g� fy� Final Cle nout
eir
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks i Entered S Lax
Roots a Si L . } `, , /74c
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
r,v S // "v /PE/ t< -sS'
Pink Copy: SEH