2007 Diffley Rd - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
t'dly or Eag,an
Date Cr /// / Time // e • Z67 , ': ;4 ) 7 n c,
Name
PID Number
House Number
Alternative Mailing Address
./? 1.-•
, -
Owner/Occupant Signature
Compliance
O No foundation drain connection
PO No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O sump pump
4" to 6" Transition: f
White Copy: Proper ty Owner
sEKTNAI4
2 0 0 7 Street Name
t
0
Non-Compliance
tO Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
- 0 Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
CUrii /5 Length of Service:
Record Number
Time / • ( lc 4rn
• 0 pm
Yellow Copy: City of Eagan
cf / P
Phone
( 71nspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
_ feet
Entered S.L at
Mineral Deposits 14, e//
Sag/Pipe Deflection"
Damaged Pipe
Transition
, ,
•
.> Final Cleanout:
No Access
O No one in
CAL)
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes
,4/ / ,-1 1-/
,/ 4...e 77 - .?
,ifi C C
--- ,---, -r-fits_cii 4- D
I , I
I e ..; '
,A. , p,„, ( 67 77
, le)
Total
Correctly
Incorrectly
Unknown
Sump pumps
fo-
.....„-- __..,
....„...,
Foundation drains
.,
Roof drains
....____
----
Residential Sanitary Sewer Service
Compliance Inspection
t'dly or Eag,an
Date Cr /// / Time // e • Z67 , ': ;4 ) 7 n c,
Name
PID Number
House Number
Alternative Mailing Address
./? 1.-•
, -
Owner/Occupant Signature
Compliance
O No foundation drain connection
PO No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O sump pump
4" to 6" Transition: f
White Copy: Proper ty Owner
sEKTNAI4
2 0 0 7 Street Name
t
0
Non-Compliance
tO Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
- 0 Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
CUrii /5 Length of Service:
Record Number
Time / • ( lc 4rn
• 0 pm
Yellow Copy: City of Eagan
cf / P
Phone
( 71nspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
_ feet
Entered S.L at
Mineral Deposits 14, e//
Sag/Pipe Deflection"
Damaged Pipe
Transition
, ,
•
.> Final Cleanout:
No Access
O No one in
CAL)
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH