4129 Diamond Dr - Inspection FormL . City or a an
4 ..
Residential Sanitary Sewer Service
Compliance Inspection
k : • am
Date / / 1 � .�' b Time" Ve2 .� ' pm
Name `-%1T /' Disk# O b — _Li —Dic2]
PID Number
House Number �. ` .� > Street Name
Alterhative Mailing Address
11 ' ' l i
For information call 651
Compliance
O No foundation drain connection
J No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings Number of stacks ( Entered S at J lACR
Roots
Poor Pipe Joints ,j
Mineral Deposits �" I'� , ?- .7 Sr`�~
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: j
OwnerlOccupant Signature
White Copy: Property Owner
f � ' 0
C ,/
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
Record Number
IV • ice - m
Time ® -PO pm
Phone ` e1 A
/
Inspector Signature
Obstruction
Unable to push past
feet
Length of Service: 7 ° - Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes (4
1' C ' j t
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
-- ,
L . City or a an
4 ..
Residential Sanitary Sewer Service
Compliance Inspection
k : • am
Date / / 1 � .�' b Time" Ve2 .� ' pm
Name `-%1T /' Disk# O b — _Li —Dic2]
PID Number
House Number �. ` .� > Street Name
Alterhative Mailing Address
11 ' ' l i
For information call 651
Compliance
O No foundation drain connection
J No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings Number of stacks ( Entered S at J lACR
Roots
Poor Pipe Joints ,j
Mineral Deposits �" I'� , ?- .7 Sr`�~
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: j
OwnerlOccupant Signature
White Copy: Property Owner
f � ' 0
C ,/
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
Record Number
IV • ice - m
Time ® -PO pm
Phone ` e1 A
/
Inspector Signature
Obstruction
Unable to push past
feet
Length of Service: 7 ° - Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Notes (4
1' C ' j t
Yellow Copy: City of Eagan Pink Copy: SEH