4096 Diamond Dr - Inspection FormCi
Residential Sanitary Sewer Service
Compliance Inspection
F� .4 Z
Date 1 ) / l � )
i J
Name
PID Number
House Number
4" to 6" Transition:
i,7 i Disk #
Alternative Mailing Address
Compliance
No foundation drain connection
r
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
CA sump pump
Service Lateral Inspection Findings
Roots , )
Transition /
White Copy: Property Owner
1
Time •
/
Owner /Occupant Signature
am
pm
7
[ %7 Street Name _T,-••`q ,)/ ,
Phone _ r-�,
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
Sag /Pipe Deflection
Length of Service:
Yellow Copy: City of Eagan
Record Number
1::t; Time
Inspector Signature
Damaged Pipe ,� f
ji
Obstruction
Unable to push past
feet
• (f) O am
o Pm
For information call . 651:470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of Entered S. L at�� ".
i
-)- Final Cieanout:
Pink Copy: SEH
Total
Notes
' %'V
'
i.5
;n
. Nrinitber
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
1;
Foundation drains
/ i}
Roof drains
Ci
Residential Sanitary Sewer Service
Compliance Inspection
F� .4 Z
Date 1 ) / l � )
i J
Name
PID Number
House Number
4" to 6" Transition:
i,7 i Disk #
Alternative Mailing Address
Compliance
No foundation drain connection
r
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
CA sump pump
Service Lateral Inspection Findings
Roots , )
Transition /
White Copy: Property Owner
1
Time •
/
Owner /Occupant Signature
am
pm
7
[ %7 Street Name _T,-••`q ,)/ ,
Phone _ r-�,
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
Sag /Pipe Deflection
Length of Service:
Yellow Copy: City of Eagan
Record Number
1::t; Time
Inspector Signature
Damaged Pipe ,� f
ji
Obstruction
Unable to push past
feet
• (f) O am
o Pm
For information call . 651:470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of Entered S. L at�� ".
i
-)- Final Cieanout:
Pink Copy: SEH