4115 Diamond Dr - Inspection Formk
City of Flap
Residential Sanitary Sewer Service
Compliance Inspection
Date (; 2 ? 1(
Name /,42 ,/P4
MD Number
House Number 4///
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" TransitiOn:
White Copy: Property Owner
/ • Om
Time • 447 P"pm
Disk #
Street Name
Alternative Mailing Address
Owner/Occupant Signature
.7 ..1:9"
For information call 651.470.2788
Non-Compliance
0
0
Clear. water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
0/4
(Vas
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Notes
[ Time
O am
•
• 0 pm
P Or/ )
Obstruction
Unable to push past
feet
- inspector Signature
Final Cleanout:
No Access
No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
V(P7
7
—7
.
1
/ Pink Copy: SEH
I
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
k
City of Flap
Residential Sanitary Sewer Service
Compliance Inspection
Date (; 2 ? 1(
Name /,42 ,/P4
MD Number
House Number 4///
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" TransitiOn:
White Copy: Property Owner
/ • Om
Time • 447 P"pm
Disk #
Street Name
Alternative Mailing Address
Owner/Occupant Signature
.7 ..1:9"
For information call 651.470.2788
Non-Compliance
0
0
Clear. water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
0/4
(Vas
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
Notes
[ Time
O am
•
• 0 pm
P Or/ )
Obstruction
Unable to push past
feet
- inspector Signature
Final Cleanout:
No Access
No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
V(P7
7
—7
.
1
/ Pink Copy: SEH
I
Cit o1 eta au
Residential Sanitary Sewer Service
Compliance inspection
Date / A7/ , /
Name _ Disk #
PID Number
Time /f • G'o _t y pm
0
0 am
Record Number
Time 1 : 00 . 1 p
House Number Z /�>! r Street Name 77
Phone
f
/
Alternative Mailing Address
! dj
Compliance
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
4 No sump pump
N.
Mineral Deposits.
J i J I .J( .1 f d t �F
OwnerlOc pant Signature
For information call 651.470.2788
No foundation drain connection
No roof drain connection
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
..Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks i Entered S L at ...„‘''77,16t- Ce7
Roots
Poor Pipe Joints
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: f
White Copy: Property Owner
e6N t} Length of Service: Final Cleanout:
Yellow Copy: City of Eagan
Pink Copy: SEH
Total
Notes ; �, ✓ , 1 ,�� W
1 �, }�
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
..
_„.
Foundation drains
(
" - . -•—
Roof drains
Cit o1 eta au
Residential Sanitary Sewer Service
Compliance inspection
Date / A7/ , /
Name _ Disk #
PID Number
Time /f • G'o _t y pm
0
0 am
Record Number
Time 1 : 00 . 1 p
House Number Z /�>! r Street Name 77
Phone
f
/
Alternative Mailing Address
! dj
Compliance
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
4 No sump pump
N.
Mineral Deposits.
J i J I .J( .1 f d t �F
OwnerlOc pant Signature
For information call 651.470.2788
No foundation drain connection
No roof drain connection
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
..Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks i Entered S L at ...„‘''77,16t- Ce7
Roots
Poor Pipe Joints
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: f
White Copy: Property Owner
e6N t} Length of Service: Final Cleanout:
Yellow Copy: City of Eagan
Pink Copy: SEH