2011 Diffley Rd - Inspection Form4 11. City of bp
Residential Sanitary Sewer Service
Compliance Inspection
Date 6..-r/ / 7 / /a Time _ tJ o p
Name /1/i/ /) /Lf &// 14 S Disk #
PID Number'
House Number Z°// Street Name
Alternative Mailing Address Phone ` J?) i9 7
.:;inspector Signature
rTh
Owner /Occupant Signature
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 pr'oper'ly piped
No sump pump
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 Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Depositst ��� °
SaglPipe Deflection .,
d
cU
4" to 6 "Transition: a J f , ny,;2/ /y7 Length of Service:
Record Number
Damaged Pip / Jj �`°� /, f /14(-4t.-76,
� 17 / in / J 1', �F'' r f ; .. - f�'OVi�c
Transition / ' „1/4"/L / ? ✓� _.4 �r
White Copy: Property Owner Yellow Copy: City of Eagan
grip V 1 /90 I r1V F ( % /?l''?'/-t`. J c is J Pao
r
•
940 Time � r� • • / o prn
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SE
Notes 0
r L ".j r f
�� Total
✓
ry
(( 1-16\i"
/r y
:„
i ', '' f17
,_
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
_
Foundation drains
°
f
i
.ST,1C
Roof drains
4 11. City of bp
Residential Sanitary Sewer Service
Compliance Inspection
Date 6..-r/ / 7 / /a Time _ tJ o p
Name /1/i/ /) /Lf &// 14 S Disk #
PID Number'
House Number Z°// Street Name
Alternative Mailing Address Phone ` J?) i9 7
.:;inspector Signature
rTh
Owner /Occupant Signature
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 pr'oper'ly piped
No sump pump
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 Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Depositst ��� °
SaglPipe Deflection .,
d
cU
4" to 6 "Transition: a J f , ny,;2/ /y7 Length of Service:
Record Number
Damaged Pip / Jj �`°� /, f /14(-4t.-76,
� 17 / in / J 1', �F'' r f ; .. - f�'OVi�c
Transition / ' „1/4"/L / ? ✓� _.4 �r
White Copy: Property Owner Yellow Copy: City of Eagan
grip V 1 /90 I r1V F ( % /?l''?'/-t`. J c is J Pao
r
•
940 Time � r� • • / o prn
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SE