2035 Diffley Rd - Inspection FormSump pumps
j
i
Foundation drainsa
-
Roof drains
_ - "
City of Ea pa
Residential Sanitary Sewer Service
Compliance Inspection
Date ! C /
Name /"-' A
HD Number
House Number
oxs
Alternative MailingAddress
Service Lateral Inspection Findings
Compliance
ID/No foundation drain connection
p 'No roof drain connection
A
4 (Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
White Copy;'Property Owner
Time //
co- p pm
Disk #
Own erlOccupant Sigp'at rre
0
6/1-LL)
O Flexible sump pump piping
Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection 7'
Damaged Pipe
Transition
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
1
Street Name / <
Non- Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
4" to 6" Transition: / w y e ",r- _.ength of Service:
Record Number
Time
Phoned CC.'� -1.,� ? ` o.
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Entered S L at
j
/
Notes „
• ,f ¢ am
• f_ o pen
A " sC
Jlnspect4 Signature .
/S /1
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: ...�
Pink Copy: SEH