2029 Diffley Rd - Inspection Form41 City of Fa au
Residential Sanitary Sewer Service
Compliance Inspection
t • O a
Date (7 / // / l2 Time //• _Sc F p m
Name '6:1' 2t4.lr / i 'V Disk #
PID Number
House Number_. 707 2 -
Alternati Mailing Address
r-
Compliance
ZINo roof drain connection
v
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Owner /Occupant Signature
No foundation drain connection
0
/ C)
Street Name /// ` ? /7
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
A. Time
Phone r071-5 /6
f : 0,am
tt pm
• 'C`lnspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Inspection
refused
Entered S..L. at ti..7iCi'e'
O Access to service
lateral needed
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: / f Length of Service:
f /0(/ j ig'
White Copy: Proper ty Owner
Yellow Copy: City of Eagan
Final Cleanout: //di :•L - '
Pink Copy: SEH
Number Discharged
Notes (:,16,7 (A , ✓
f 16t:6 /X' 4"-
r 4
Total
Correctly
Incorrectly
Unknown
Sump pumps
2.____...�.
_ �_.�.d, -_
w.
Foundation drains �..
-. - ° °--
-- _ - �
-
dif"7 ei 7 1 ,./'r ti 166_,./4? :
Roof drains
%j F
-
41 City of Fa au
Residential Sanitary Sewer Service
Compliance Inspection
t • O a
Date (7 / // / l2 Time //• _Sc F p m
Name '6:1' 2t4.lr / i 'V Disk #
PID Number
House Number_. 707 2 -
Alternati Mailing Address
r-
Compliance
ZINo roof drain connection
v
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Owner /Occupant Signature
No foundation drain connection
0
/ C)
Street Name /// ` ? /7
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
A. Time
Phone r071-5 /6
f : 0,am
tt pm
• 'C`lnspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Inspection
refused
Entered S..L. at ti..7iCi'e'
O Access to service
lateral needed
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: / f Length of Service:
f /0(/ j ig'
White Copy: Proper ty Owner
Yellow Copy: City of Eagan
Final Cleanout: //di :•L - '
Pink Copy: SEH