4050 Diamond Pt - Inspection FormSump pumps
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Foundation drains
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Roof drains
44111.
Cit 0' d aH
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
K. 6,if),
PID Number
House Number 3 Street Name
Alternative Mailing Address
4
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition " :,y) 6, i . i77 - '. , " ;. ?' 4 °- —
4" to 6 "Transition:
White Copy: Property Owner
Total
Time _s
Disk #
Owner /Occupant Signature
o am
pm
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
Length of Service:
Number Discharged
Correctly
Incorrectly Unknown
Record Number
` 0 Time
Phone
Obstruction
Unable to push past
feet
Notes
1
lnspe or Signature
Final Cleanout:,
0 am
�V pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
I I
Entered SL at i - -7('
c� fOca``' SS
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Yellow Copy: City of Eagan Pink Copy: SEH