2025 Diffley Rd - Inspection Form11111111 City ili tap0
Residential Sanitary Sewer Service
•
Compliance inspecti ®n
Date aZ / 1 /;::7
Name — /--L---4/ At, ,ow, Disk #
RD Number
House Number
Alternative MailingAddress
Compliance
0 No foundation drain connection
iO'No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
9 /No sump pump
Service Lateral Inspection Findings
7
Roots
Poor Pipe Joints
/7
Mineral Deposits(' )
Sag/Pipe Deflection 7/2(2:
Damaged Pipe
4" to 6" Transition:
White Copy: Property Owner
Time
Street Name
Owner/Occup'ant:Signature
For information call 651.470.2788
Non-Compliance
121d
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Transition
Length of Service:
Yellow Copy: City of Eagan
/LE
Record Number
oam
Time • jepm
Phone
,) 2?
--4 ,
I P 4 .4 „„.
...frisector Signature
Obstruction
Unable to push past
feet
A VZZ.1
K I/1 '( -;‘,/
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks 1 Entered 51 at
Final Cleanout:
Pink CopywSEH
refrI162
Number Discharged. N otes
Total
Correctly
Incorrectly
Unknown
/1 /c' /:; if --(_":reec I-A I
j
AfrAcecr cir
: 7 ? Roof
Sump pumps
„--- -
..._____________
Foundation drains
= J
drains
,
11111111 City ili tap0
Residential Sanitary Sewer Service
•
Compliance inspecti ®n
Date aZ / 1 /;::7
Name — /--L---4/ At, ,ow, Disk #
RD Number
House Number
Alternative MailingAddress
Compliance
0 No foundation drain connection
iO'No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
9 /No sump pump
Service Lateral Inspection Findings
7
Roots
Poor Pipe Joints
/7
Mineral Deposits(' )
Sag/Pipe Deflection 7/2(2:
Damaged Pipe
4" to 6" Transition:
White Copy: Property Owner
Time
Street Name
Owner/Occup'ant:Signature
For information call 651.470.2788
Non-Compliance
121d
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Transition
Length of Service:
Yellow Copy: City of Eagan
/LE
Record Number
oam
Time • jepm
Phone
,) 2?
--4 ,
I P 4 .4 „„.
...frisector Signature
Obstruction
Unable to push past
feet
A VZZ.1
K I/1 '( -;‘,/
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks 1 Entered 51 at
Final Cleanout:
Pink CopywSEH
refrI162