4049 Diamond Pt - Inspection FormCif at fa o
Residential Sanitary Sewer Service
Compliance Inspection
Date (451 iG / /0
Name if. ' 14'; L lA/ ek Disk #
PID Number
Hoilse Number i'e
Alternative Mailing Address
//
�, ; ,
OwnllOccupant Signature
i
For information call 651.470.2788
Compliance
O No foundation drain connection
y No roof drain connection
1 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
F f
Street Name
O
0
O
0
0
Mineral DepositsLfl 0 ;f ti
•
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
am
Time CJ' • � � 1 p pm
Non - Compliance
Number of stacks
Yellow Copy: City of Eagan
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
t i , ( tengtii of Service: C,
Record Number 7
Time /) r o m •
Pho ���r
� ? /�f 2
/
Uf Ei{spector Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
Entered S L.at J 7) `% . (Y)
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
y
Discharged
Incorrect! Unknown
y
Notes 77
D �
t � i ��
[ !' /( > ,f
, .y
_
Total
Sump pumps
�-
—
Foundation drains
J J� 4 �j
( l l iv f- `c� t4," (; .' ° (ZIT
Roof drains
....
Cif at fa o
Residential Sanitary Sewer Service
Compliance Inspection
Date (451 iG / /0
Name if. ' 14'; L lA/ ek Disk #
PID Number
Hoilse Number i'e
Alternative Mailing Address
//
�, ; ,
OwnllOccupant Signature
i
For information call 651.470.2788
Compliance
O No foundation drain connection
y No roof drain connection
1 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
F f
Street Name
O
0
O
0
0
Mineral DepositsLfl 0 ;f ti
•
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
am
Time CJ' • � � 1 p pm
Non - Compliance
Number of stacks
Yellow Copy: City of Eagan
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
t i , ( tengtii of Service: C,
Record Number 7
Time /) r o m •
Pho ���r
� ? /�f 2
/
Uf Ei{spector Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
Entered S L.at J 7) `% . (Y)
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH