4209 Diamond Dr - Inspection FormSump pumps
i ' l i
Foundation drains
Roof drains
4_.✓j
W b
City or. aRa i
Residential Sanitary Sewer Service
Compliance Inspection
/
Date/�I/ ,,
Name ./ /_ 1'2/ 3 ) ) J Disk #
PFD Number
House Number
Alternative Mailing Address
(.../ -' Street Name
Owner /Occupant Signature
For information call 651
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 l allns f/ eci n rndings
Roots �
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I
Transition / /O ,/"
4" to 6" Transition:
White Copy: Property Owner
Total
• am
Time
• p
12 I I: irJ
Non - Compliance
Number of stacks
Phone
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
A
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number•
Obstruction
Notes
L... k e
•
•
Inspector Signature
)
Length of Service: �- _. Final Cleanout:
am
pm
v i
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered 5.L at
Pink Copy: SEH