4123 Diamond Dr - Inspection FormCity of liapo
, y
Residential Sanitary Sewer Service
Compliance Inspection
7, n
Date 1 14 l
Name (, �
PID Number
House Number
Alternative Mailing Address
d / f
f
r�*t
. r
1
Time %j "
Disk#
..� Street Name
Owner /Occupant Signature
7
am
pm
1
Record Number _ f
Phone?
)} • , o- am
ime J.."`t • pm
inspector Signature
For information call 651.470:2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit riot connected to
sanitary sewer
Sump pump properly piped
O No sump pump
White Copy: Property Owner
4" to 6 "Transition:
Service Lateral Inspection Findings Number of stacks Entered 5 L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Ir. r,
Transition
Non - Compliance Obstruction
Clear water connections to ) Unable to push past
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
I
'
Length of Service: !
` 7a -
Yellow Copy: City of Eagan Pink opy: SkH
feet
Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Total
Number
Correctly
Discharged
incorrectly Unknown
Rlotes
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Sump pumps
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d 1
3
Foundation drains
_.
Roof drains
City of liapo
, y
Residential Sanitary Sewer Service
Compliance Inspection
7, n
Date 1 14 l
Name (, �
PID Number
House Number
Alternative Mailing Address
d / f
f
r�*t
. r
1
Time %j "
Disk#
..� Street Name
Owner /Occupant Signature
7
am
pm
1
Record Number _ f
Phone?
)} • , o- am
ime J.."`t • pm
inspector Signature
For information call 651.470:2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit riot connected to
sanitary sewer
Sump pump properly piped
O No sump pump
White Copy: Property Owner
4" to 6 "Transition:
Service Lateral Inspection Findings Number of stacks Entered 5 L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Ir. r,
Transition
Non - Compliance Obstruction
Clear water connections to ) Unable to push past
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
I
'
Length of Service: !
` 7a -
Yellow Copy: City of Eagan Pink opy: SkH
feet
Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused