4078 Diamond Dr - Inspection FormSump pumps
C9
Foundation drains
j j
Roof drains)
City off are
Residential Sanitary Sewer Service
Compliance Inspection
Date _ 1 )( 1 /63
Name
PID Number
House Number
Alternative Mailing Address
/-7/-7--/_-/ --/�/"
Ownerlacdpant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection f
Damaged Pipe '
— 711i7)
Transition
4" to 6" Transition:
White Copy: Property Owner
2 • (30 & am
Time • /9 Pm
Disk #
S treet Name
Total Correctly
Length of Service:
Number Discharged
Incorrectly Unknown
Record Number
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
r �
7)
Notes
_ •;-, : 0
Time •
Phone
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
O anm
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral indings
Roots Number of stacks Entered S L.at . �� . th e i�
f i � — ..P
ft) Poor Pipe]oints
Yellow Copy: City of Eagan Pink Copy: SEH