4077 Diamond Dr - Inspection Formtit o limn
Residential Sanitary 'Sewer Service
Compliance Inspection
Date / /
Name. /
PID Number
F# House Number r' 7✓' Street Name
Alternative Mailing Address
7 . ! Owner /Occupant Signature
For information call 651 470.2788
Con pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k i No sump pump
Service Lateral In pection Findings
.�.�
Roots .._. ,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition d
4" to 6" Transition:
l
J
White Copy: Property Owner
Time
_ Disk#
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
•
• r 4 pm
,Njmbet of stacks 1 : Entered S L at
Length of Service:
Yellow Copy: City of Eagan
Record Number
Z--/- _ pi,am
F4 Time ! • / P
Phone
Obstruction
Unable to push past
feet.
rl
Inspector Signature
r /
No Access
O No one in
1 ' '
O Access to service
lateral needed
O Inspection
refused
-
fi
- Final Cleanout:>�' �
7
Pink Copy: SEH
Notes
Number
Correctly
Discha
Incorrectly
ged
Unknown
Total
Sump pumps
/ 1 )
L
Foundation drains
Roof drains
tit o limn
Residential Sanitary 'Sewer Service
Compliance Inspection
Date / /
Name. /
PID Number
F# House Number r' 7✓' Street Name
Alternative Mailing Address
7 . ! Owner /Occupant Signature
For information call 651 470.2788
Con pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k i No sump pump
Service Lateral In pection Findings
.�.�
Roots .._. ,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition d
4" to 6" Transition:
l
J
White Copy: Property Owner
Time
_ Disk#
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
•
• r 4 pm
,Njmbet of stacks 1 : Entered S L at
Length of Service:
Yellow Copy: City of Eagan
Record Number
Z--/- _ pi,am
F4 Time ! • / P
Phone
Obstruction
Unable to push past
feet.
rl
Inspector Signature
r /
No Access
O No one in
1 ' '
O Access to service
lateral needed
O Inspection
refused
-
fi
- Final Cleanout:>�' �
7
Pink Copy: SEH