1999 Diffley Rd - Inspection Form41111111 ityof1aaa
Residential Sanitary Sewer Service
Compliance Inspection
1
Date - /_,L,
ca-
Name
MD Number
House Number
Alterriative Mailing Address
le .
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral lnspeaion Findings
ki
Roots ,---,.-- '
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Pt oper ty Owner
a m
Time '0 pm
Disk #
Street Name
Owner/Occupant Signature
Non-Compliance
0
0
Number of stacks /
Length of Service:
x
--r
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitaW
sewer
Flexible sump pump piping/
Record Number.
6
LI r
)
,....,...---
! V
,•='"
Time
Phone
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L at
Poor Pipe joints
Mineral Deposits
;r72---7_
.:.
-
Notep.- -..„
(..Ifr('21/ _:_..- f:.. /' V c.22,7)
? / - -, - 11: 2 -} ,----
' - ` --- 7 --) - - ' / .''''')('.- 1- ,------: /
A /
(-- _,,_....--, Q / ,=.- 77 ,.•
• = . . = ,
"----- // •L--- / • 1 I I
I I "-k,----1,..-= )
1 `=--- 1 - } " . ,-
,- -':..."- /1
-
1- • 1
Yellow Copy: City of Eagan - 4/ Pink Copy: SEH
inspec
o am
•
• Opm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
-- ;12
==.
Final Cleanout:
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Ill
MIN
IIII
Roof drains
all
41111111 ityof1aaa
Residential Sanitary Sewer Service
Compliance Inspection
1
Date - /_,L,
ca-
Name
MD Number
House Number
Alterriative Mailing Address
le .
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral lnspeaion Findings
ki
Roots ,---,.-- '
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Pt oper ty Owner
a m
Time '0 pm
Disk #
Street Name
Owner/Occupant Signature
Non-Compliance
0
0
Number of stacks /
Length of Service:
x
--r
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitaW
sewer
Flexible sump pump piping/
Record Number.
6
LI r
)
,....,...---
! V
,•='"
Time
Phone
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L at
Poor Pipe joints
Mineral Deposits
;r72---7_
.:.
-
Notep.- -..„
(..Ifr('21/ _:_..- f:.. /' V c.22,7)
? / - -, - 11: 2 -} ,----
' - ` --- 7 --) - - ' / .''''')('.- 1- ,------: /
A /
(-- _,,_....--, Q / ,=.- 77 ,.•
• = . . = ,
"----- // •L--- / • 1 I I
I I "-k,----1,..-= )
1 `=--- 1 - } " . ,-
,- -':..."- /1
-
1- • 1
Yellow Copy: City of Eagan - 4/ Pink Copy: SEH
inspec
o am
•
• Opm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
-- ;12
==.
Final Cleanout: