2102 Diffley Rd - Inspection FormSump pumps
Foundation drains
111
Roof drains
..-
A D %VA
City a aaa
Residential Sanitary ; Sewer Service
Compliance Inspection
Dat ! e2� )(
Name_
Disk #
Alternative Mailing Address
Compliance
0 No foundation drain connection
No roof drain connection
' O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral llr l spection Findings
Roots 17 �-°
Poor PipeJoints
White Copy: Property Owner
Total
)
7/
am
Time f • pm
House Number ,..Z.. ( /,/ Street Name _ ! 1 rf
Phone 1 -( ; "_
PID Number
Uwnerl but t Signat i re
For information call 651:470.2788
Non - Compliance
O Clean water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
C
Transition i i�1
Correctly
Number of stacks Entered S L at `� >`. J ) `;•
Incorrectly
Record Number
am
-Time • pm
Number Discharged
Unknown
Nat ;s
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
4" to 6" Transition: /) /C Length of Service: --L- Final Cleanout: /( e
Yellow Copy: City of Eagan Pink Copy: SEH