4168 Diamond Dr - Inspection FormCity of Eapii
Residential Sanitary Sewer Service
Compliance Inspection
Date C Y1 0/ / /
Name /I' .4,1 / /l Disk #
PID Number
House Number 4 0 / 441>r Street Name i)
Alternative Mailing Address
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral nspection
Roots - ' f ! al. -,
/
4" to 6 "Transition:
White Copy: Property Owner
/6 • °. am
Time
Ownerl0ccupant Signature
For information call 65 1.470.2788
Compliance
O No foundation drain connection
indings
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
Poor Pipe Joints �~
Mineral Deposits 7 'J , ,.r £f-
Sag/Pipe Deflection
Damaged Pipe
Transition 34t-- Pc / //b,(../
/
e /may
0
1
Number of stacks
Length of Service:
V
�p-
Record Number
Phone
Time 1
,�. 2 • O /
if I nspector Signature
Obstruction
Unable to push past
feet
Entered S. at
•
•
. pm
am
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: b li(, 4 ,
Notes -. --`F/ 1'/ .:: .
•
0 1
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
------
drains
I N Foundation
Roof drains
i
—
..,
City of Eapii
Residential Sanitary Sewer Service
Compliance Inspection
Date C Y1 0/ / /
Name /I' .4,1 / /l Disk #
PID Number
House Number 4 0 / 441>r Street Name i)
Alternative Mailing Address
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral nspection
Roots - ' f ! al. -,
/
4" to 6 "Transition:
White Copy: Property Owner
/6 • °. am
Time
Ownerl0ccupant Signature
For information call 65 1.470.2788
Compliance
O No foundation drain connection
indings
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
Poor Pipe Joints �~
Mineral Deposits 7 'J , ,.r £f-
Sag/Pipe Deflection
Damaged Pipe
Transition 34t-- Pc / //b,(../
/
e /may
0
1
Number of stacks
Length of Service:
V
�p-
Record Number
Phone
Time 1
,�. 2 • O /
if I nspector Signature
Obstruction
Unable to push past
feet
Entered S. at
•
•
. pm
am
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: b li(, 4 ,
Notes -. --`F/ 1'/ .:: .
•
0 1
Yellow Copy: City of Eagan Pink Copy: SEH