4071 Diamond Dr - Inspection Form41111
My al 1 an
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date _l;
Name Disk #
PID Number
House Number
4" to 6" Transition:
! f
mmliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
o Sump pump properly piped
6 . No sump pump
Mineral Deposits
(5a Pipe Deflection Z. - , ` ✓
Damaged Pipe
Transition F 'd
White Copy: Property Owner
• (,j 0, am
Time • k p
1 Street Name
Alternative Mailing Address _
✓ i
OwriecfOccuparrt Signature
Service Lateral Inspection Findings
Roots f 7/4 6 4f G evr5 Q9'
Poor PipeJoints
r�I
t
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
j7)Time
• — am
• ,.C( pm
Phone )
Inspector /-• Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks 'f Entered 5 L.at
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes
Total
Correctly
Incorrectly
Unknown
Sump pumps
7 -
Foundation drains
✓
Roof drains
�
41111
My al 1 an
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date _l;
Name Disk #
PID Number
House Number
4" to 6" Transition:
! f
mmliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
o Sump pump properly piped
6 . No sump pump
Mineral Deposits
(5a Pipe Deflection Z. - , ` ✓
Damaged Pipe
Transition F 'd
White Copy: Property Owner
• (,j 0, am
Time • k p
1 Street Name
Alternative Mailing Address _
✓ i
OwriecfOccuparrt Signature
Service Lateral Inspection Findings
Roots f 7/4 6 4f G evr5 Q9'
Poor PipeJoints
r�I
t
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
j7)Time
• — am
• ,.C( pm
Phone )
Inspector /-• Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks 'f Entered 5 L.at
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH