4124 Diamond Dr - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date / / , ,
Name , d / t , 7 -
SaglPipe Deflection
Damaged Pipe .
C/
Transition I / ,
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
PID Number
House Number 2-7°" Street Name
Alternative Mailing Address
Olner / Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots / 1
."3/._, am
• 0 pm
Poor Pipe Joints
Mineral Deposits
Length of Service:
Yellow Copy: City of Eagan
Record Number
rq. �� 1C am
•
Time (7.- • _ o pm
� ` r-°
°�
Phone (: / - {
Inspector Signature
For information call 651
Obstruction
Unable to push past
feet
No Access
0
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 is
Number of stacks I Entered S L at _72
No one in
O Access to service .
lateral needed
O Inspection
refused
;' !
Final Cleanout: ✓rf7 a, `� !
Notes
6„.-- 7 k � ' 'c '�' / i , z.:-. C.=-: yti z C. { t C ? /
l 1
s
� ^
7 Piwk Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
Foundation drains
Roof drains
~'
Residential Sanitary Sewer Service
Compliance Inspection
Date / / , ,
Name , d / t , 7 -
SaglPipe Deflection
Damaged Pipe .
C/
Transition I / ,
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
PID Number
House Number 2-7°" Street Name
Alternative Mailing Address
Olner / Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots / 1
."3/._, am
• 0 pm
Poor Pipe Joints
Mineral Deposits
Length of Service:
Yellow Copy: City of Eagan
Record Number
rq. �� 1C am
•
Time (7.- • _ o pm
� ` r-°
°�
Phone (: / - {
Inspector Signature
For information call 651
Obstruction
Unable to push past
feet
No Access
0
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 is
Number of stacks I Entered S L at _72
No one in
O Access to service .
lateral needed
O Inspection
refused
;' !
Final Cleanout: ✓rf7 a, `� !
Notes
6„.-- 7 k � ' 'c '�' / i , z.:-. C.=-: yti z C. { t C ? /
l 1
s
� ^
7 Piwk Copy: SEH