4097 Diamond Dr - Inspection FormCity of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 27 1 I L —, ,l Time
Name
PID Number
House Number • 1
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
/>
Service Lateral Inspection Findings
Roots _.
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 2
4" to 6" Transition:
White Copy: Property Owner
- 7 Disk #
Street Name
'/ Owner /Occupant Signature
• 3? ( am
• ,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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Time • •
Inspec{or Signature
Obstruction
Unable to push past
feet
Final Cleanout:
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Pink Copy: SEH
Total
Notes
'�
'10 i
4{- . =• l ':
7 :21-1: -y,l("_
= J .5 1
i°
Number
Discharged
Correctly
incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
r
'`---
City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date 27 1 I L —, ,l Time
Name
PID Number
House Number • 1
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
/>
Service Lateral Inspection Findings
Roots _.
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 2
4" to 6" Transition:
White Copy: Property Owner
- 7 Disk #
Street Name
'/ Owner /Occupant Signature
• 3? ( am
• ,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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Phone
Time • •
Inspec{or Signature
Obstruction
Unable to push past
feet
Final Cleanout:
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Pink Copy: SEH