2015 Diffley Rd - Inspection Form(1
Roof drains .
, 41 , 11/. City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date_ (9,51 / 7/ /
Name 7/V y ev e Disk #
PID Number
House Number Zc2 /S Street Name
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
f
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
y No sump pump
Service Lateral Inspection Findings
Roots
0
Poor Pipe Joints
Mineral Deposits 6 ?�
White Copy: Property Owner
y�� • � Qum
Time !1 • O 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
Record Number'
4" to 6 "Transition: Length of Service:
Time _0�j • f • " o pm
Phone n ) 5't - _�.
i
/ ''Ind stor Signature
Obstruction
Unable to push past
feet
otes 0
1
No Access
O No one in
Number of stacks Entered S.L at i
O Access to service
lateral needed
O Inspection
refused
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:t.
V'.'fv
r I
u r tf/(f4/
Yellow Copy: City of Eagan Pink Copy: SEH
Number Discharged '
'!
Total C
Correctly I
Incorrectly U
Unknown
Sump pumps _
_ �__� �
� �..�_ �
�__._... ,
Foundation drains
, 41 , 11/. City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Date_ (9,51 / 7/ /
Name 7/V y ev e Disk #
PID Number
House Number Zc2 /S Street Name
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
f
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
y No sump pump
Service Lateral Inspection Findings
Roots
0
Poor Pipe Joints
Mineral Deposits 6 ?�
White Copy: Property Owner
y�� • � Qum
Time !1 • O 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
Record Number'
4" to 6 "Transition: Length of Service:
Time _0�j • f • " o pm
Phone n ) 5't - _�.
i
/ ''Ind stor Signature
Obstruction
Unable to push past
feet
otes 0
1
No Access
O No one in
Number of stacks Entered S.L at i
O Access to service
lateral needed
O Inspection
refused
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:t.
V'.'fv
r I
u r tf/(f4/
Yellow Copy: City of Eagan Pink Copy: SEH