4162 Diamond Dr - Inspection FormCity a#'ta ap
Residential Sanitary Sewer Service
Compliance Inspection
Date - / / / /.'
Name ^ ) r , s %t r"? KF Di$k #
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
No foundation, drain connection
No roof drain connection
fe .:,
,� ,, o, .! �i r G
Owner/Occupant Signature
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
le No sump pump
4" to 6" Transition:
White Copy: Property Owner
/ levy
Time 07 o Pm
ilg'Z /0
• r`
��. Length of Service:
1 f
Yellow Copy: City of Eagan
Record Number
A-
Time
7; /
pi am
0 pm
Phoe(Y /! -
//..
_. Signature
For information call 651.470.2788
Non- Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Obstruction
Unable to push past
feet
.6 1_47? 7 / # � ✓c ¢ st f r
Final Cleanout:
� 1; r t vel `u
° a I n
Ff
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Ins Findings Number of stacks 1 Entered S L.at J
Roots 2 / _ � " r°J Z 7 --- _ 7
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
...._.y,,,,141,6=4--.A.,,, ( 1 j
Notes �
f _. ;) - /'
t (
1 ( ,i ", j - L - ..
A
l x -0 �''. t.7d (. i • Kr
r
f ,� r`t
, :�, .0 i ts , .
Number
Discharged
Correctly
incorrectly Unknown
Sump pumps
_,- _....
Foundation drains
,. -
--
Roof drain
�
City a#'ta ap
Residential Sanitary Sewer Service
Compliance Inspection
Date - / / / /.'
Name ^ ) r , s %t r"? KF Di$k #
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
No foundation, drain connection
No roof drain connection
fe .:,
,� ,, o, .! �i r G
Owner/Occupant Signature
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
le No sump pump
4" to 6" Transition:
White Copy: Property Owner
/ levy
Time 07 o Pm
ilg'Z /0
• r`
��. Length of Service:
1 f
Yellow Copy: City of Eagan
Record Number
A-
Time
7; /
pi am
0 pm
Phoe(Y /! -
//..
_. Signature
For information call 651.470.2788
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
.6 1_47? 7 / # � ✓c ¢ st f r
Final Cleanout:
� 1; r t vel `u
° a I n
Ff
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Ins Findings Number of stacks 1 Entered S L.at J
Roots 2 / _ � " r°J Z 7 --- _ 7
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
City of Capp
Residential Sanitary Sewer Serrrice
Compliance Inspection
Date r/6 IC / / /.0
Name L^.
Alternative MailingAddress
4" to 6" Transition:
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
White Copy: Proper ty Owner
Time r%• 0 6 m
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots /%1 r' /
P10 Number
House Number /7d C_ Street Name /7-4 'r -fi'J 2
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
f
Number of stacks
r
Poor Pipe f dints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
/ Length of Service:
Yellow Copy: City of Eagan
Record Number
Wi n.
Time • /
Phone
o ne e �� 64.; ,;. 5
j
,,tnspector Signature
Obstruction
Unable to push past
f
` / r feet
Final Cleanout:
r
k am
0 Pm
For information call 651
No Access
O No one in
�L C 3
Entered S L.at
Notes � � j
i , vs
O Access to service
lateral needed
O Inspection
refused
e4/t /"
Pink Copy: SEH
Number
Correctly
Discharged
incorrectly
Unknown
Total
Sump pumps
ff
Foundation drains
i
; i
�
Roof drains
'
_ .
.- ..- .......__ _
City of Capp
Residential Sanitary Sewer Serrrice
Compliance Inspection
Date r/6 IC / / /.0
Name L^.
Alternative MailingAddress
4" to 6" Transition:
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
White Copy: Proper ty Owner
Time r%• 0 6 m
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots /%1 r' /
P10 Number
House Number /7d C_ Street Name /7-4 'r -fi'J 2
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
f
Number of stacks
r
Poor Pipe f dints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
/ Length of Service:
Yellow Copy: City of Eagan
Record Number
Wi n.
Time • /
Phone
o ne e �� 64.; ,;. 5
j
,,tnspector Signature
Obstruction
Unable to push past
f
` / r feet
Final Cleanout:
r
k am
0 Pm
For information call 651
No Access
O No one in
�L C 3
Entered S L.at
Notes � � j
i , vs
O Access to service
lateral needed
O Inspection
refused
e4/t /"
Pink Copy: SEH