4328 Diamond Dr - Inspection Form410 • of1aaA
Residential Sanitary Sewer Service
Compliance inspection
Date 7/ / / 1 ' Time
Name
PID Number
House Number _ . Street Name
/ Disk #
rr 1
Owner /Occupant 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
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
• 7 _ _7_r
White Copy: Property Owner
am
0 pm
Non - Compliance
) ! ,
/ "..r1
Length of Service:
Record Number
/4
Alternative Mailing Address Phone
For information call 651.470.2788
O Clear water connections CO 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
Service Lateral Inspection Fir Number of stacks Entered S L at
Roots
Poor PipeJoints
Mineral Deposits
Obstruction
,1
Time p p
4
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
J
wp- - - Final Cleanout: ) f
( 7 _ L
i r.
Not s
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number Discharged
Correctly Incorrectly Unknown
Sump pumps
!-‘2
�' -1
1.11.1
Mill
Foundation drains
Roof drains
IN
410 • of1aaA
Residential Sanitary Sewer Service
Compliance inspection
Date 7/ / / 1 ' Time
Name
PID Number
House Number _ . Street Name
/ Disk #
rr 1
Owner /Occupant 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
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
• 7 _ _7_r
White Copy: Property Owner
am
0 pm
Non - Compliance
) ! ,
/ "..r1
Length of Service:
Record Number
/4
Alternative Mailing Address Phone
For information call 651.470.2788
O Clear water connections CO 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
Service Lateral Inspection Fir Number of stacks Entered S L at
Roots
Poor PipeJoints
Mineral Deposits
Obstruction
,1
Time p p
4
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
J
wp- - - Final Cleanout: ) f
( 7 _ L
i r.
Not s
Yellow Copy: City of Eagan Pink Copy: SEH