4116 Diamond Dr - Inspection FormCity of liIRaH
Residential Sanitary Sewer Service
Compliance Inspection
Date _ / f
Name _jA „ R
PID Number
House Number
M A -� ✓
4" to 6" Transition:
White Copy: Property Owner
Time
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Disk #
I I Street Name
Owner /Occupant Signature
• �_J am
• pm
Alternative Mailing Address Phone ^ 5 . ▪ ` —
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
Service Lateral Inspection Findings
i
Roots ,'
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition c 7)
Number of stacks f' Entered S L at
Length of Service:
Yellow Copy: City of Eagan
Record Number
1
▪ �y
(SY am
• Time (_ • O prr
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1`7 - v
Final Cleanout:
- I /
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
r"
City of liIRaH
Residential Sanitary Sewer Service
Compliance Inspection
Date _ / f
Name _jA „ R
PID Number
House Number
M A -� ✓
4" to 6" Transition:
White Copy: Property Owner
Time
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Disk #
I I Street Name
Owner /Occupant Signature
• �_J am
• pm
Alternative Mailing Address Phone ^ 5 . ▪ ` —
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
Service Lateral Inspection Findings
i
Roots ,'
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition c 7)
Number of stacks f' Entered S L at
Length of Service:
Yellow Copy: City of Eagan
Record Number
1
▪ �y
(SY am
• Time (_ • O prr
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1`7 - v
Final Cleanout:
- I /
Pink Copy: SEH