4234 Diamond Dr - Inspection FormSump pumps
(
Foundation drains
Roof drains
\) NA \/\
1ity of liapo
Residential Sanitary Sewer Service
Compliance Inspection
Date(" /,„
Name
P1D Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
No roof drain connection
Service Lateral Inspection Findings
4" to 6" Transition: r �.
White Copy: Property Owner
} S u0 am
/
Time * pm
Disk #
Street Name
OwnerlOccupant Signature
Total Correctly'
221
Number of stacks 1
Length of Service:
Number Discharged
Incorrectly Unknown
Phone
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
Record Number ! .
Not
Inspector Signature
For information call 651
Obstruction
Unable to push past
feet
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1�
Transition
1,1
Final Cleanou +- i -f f i
v-20,t,vic
s
ria
Yellow Copy: City of Eagan Pink Copy: SEH