4227 Diamond Dr - Inspection FormCity of Don
Residential Sanitary Sewer Service
Compliance Inspection
Date . /,',': f / Time o t pm
Name °�"� Disk #
l " °
RD Number
r
House Number ' � Street Name
Alternative Mailing Address
0
0 wnerlOccupant azure
For information :call 651.4701788
pliance
No foundation drain connection
No roof drain connection
1
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
I
White Copy: Property Owner
dam
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
1
Record Number r'
cam
Time , • . , pm
Phone r
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 Entered S.L.at
Roots - -. 'i,1- )r,,
,
Poor Pipe Joints l
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
I
4" to 6"Transition: Length of Service: •; j% ,
Yellow Copy: City of Eagan
s
Final Cleanout: ! ) / //t-'-7 .
Pink Copy: SEH
• .Number: Discharged
Unknown
Notes
Total
Correctly
Incorrectly
Sump pumps
/ ` h
Foundation drains
1 �
��
Roof drains
7 "
City of Don
Residential Sanitary Sewer Service
Compliance Inspection
Date . /,',': f / Time o t pm
Name °�"� Disk #
l " °
RD Number
r
House Number ' � Street Name
Alternative Mailing Address
0
0 wnerlOccupant azure
For information :call 651.4701788
pliance
No foundation drain connection
No roof drain connection
1
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
I
White Copy: Property Owner
dam
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
1
Record Number r'
cam
Time , • . , pm
Phone r
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 Entered S.L.at
Roots - -. 'i,1- )r,,
,
Poor Pipe Joints l
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
I
4" to 6"Transition: Length of Service: •; j% ,
Yellow Copy: City of Eagan
s
Final Cleanout: ! ) / //t-'-7 .
Pink Copy: SEH