4158 Diamond Dr - Inspection FormsDate ' / / )/77)
Residential Sanitary Sewer Service
Compliance Inspection
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Time � .- I pin
Name 1 Disk # L
PID Number
7
House Number_ Street Name
Record Number
Time
dam
•
• 0 pm
A
Alternative Mailing Address Phone
Owner/Occupant Signature
Inspector Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
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
Obstruction
Unable to push past
feet
No Access
O No one in
Access to service
lateralp.eede
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Final Cleanout:
White Copy: Property Owner
Yellow Copy: City of Eagari - , -r: ?-Pink Copy: SEH
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Number
CorrectlyIncorrect)
Discharged
Unknown
Total
Sum um s
P pumps
Foundation drains
10111---'
®
Roof drains
White Copy: Property Owner
Yellow Copy: City of Eagari - , -r: ?-Pink Copy: SEH
! /
-�16.9
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City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date gX / -' / 1Ci
Name ,./C2,1./ /: ori ee
PID Number
House Number 4//3-,7
Alternative Mailing Address
Nn.A.112j41\-P'---
•,i ei7 am
Time •` o pm
Disk #
0
Z,
Record Number
u-�
Street Name !///0�. /4 PAre
Time
• t%
•
m
0 pm
Owner/Occupant .Signature
Pho ie (6-P) ,17.-1-Z 27,17,2
/1
f
/.cel;
�/ inspector Signature
For information call 651A70.2788
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
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
{
Service Lateral Inspection Findings Number of stacl
Roots ` ?. s 9 7/i t"?
Entered S:L at df` 67fr'e''l
/
�^ r
JvrfG�%
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
v Length of Service:
Final Cleanout:,' ,'4—'t/
Notes --//4/,),<A,-,-,
/,),<A -c;
A/0 A-cterf
,'Jj/ 4'4 7
r
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
-
Foundation drains
Roof drains
Notes --//4/,),<A,-,-,
/,),<A -c;
A/0 A-cterf
,'Jj/ 4'4 7
r
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date gX / -' / 1Ci
Name ,./C2,1./ /: ori ee
PID Number
House Number 4//3-,7
Alternative Mailing Address
Nn.A.112j41\-P'---
•,i ei7 am
Time •` o pm
Disk #
0
Z,
Record Number
u-�
Street Name !///0�. /4 PAre
Time
• t%
•
m
0 pm
Owner/Occupant .Signature
Pho ie (6-P) ,17.-1-Z 27,17,2
/1
f
/.cel;
�/ inspector Signature
For information call 651A70.2788
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
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
{
Service Lateral Inspection Findings Number of stacl
Roots ` ?. s 9 7/i t"?
Entered S:L at df` 67fr'e''l
/
�^ r
JvrfG�%
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
v Length of Service:
Final Cleanout:,' ,'4—'t/
Notes --//4/,),<A,-,-,
/,),<A -c;
A/0 A-cterf
,'Jj/ 4'4 7
r
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
-
Foundation drains
Roof drains
Notes --//4/,),<A,-,-,
/,),<A -c;
A/0 A-cterf
,'Jj/ 4'4 7
r
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH