4321 Diamond Dr - Inspection Form41111
CA3 f },apn
Residential Sanitary Sewer Service
Compliance Inspection
/ V
Date
Name e /■57-: Disk #
PID Number
) )
Rouse Number Street Name
Alternative Mailing
• pliance
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
-.?
Owner/Occupant Signature
Service Lateral In9pection Findings
-"
Roots \ -r
am
Pm
Poor Pipe Joints
/
4" to 6" Transition:
White Copy: Property Owner
1
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
Record Number
7)
r("._.-V V.f
[Time • p
Notes
•
inspector Signature
For irtfort call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S L at -
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe i
,.../ ,..-- ...
„---- ----..) 4 / .../
Transition ) i C31 ) 40 ...,_ r".:-/ (--: A ,) , •
„/
ti•
Length of Service: Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Co r rectly
Discharged
Incorrectly
.
Unknown
Total
Sump pumps
•,-.)
i
i _.,/
Foundation drains
Roof drains
( -)
41111
CA3 f },apn
Residential Sanitary Sewer Service
Compliance Inspection
/ V
Date
Name e /■57-: Disk #
PID Number
) )
Rouse Number Street Name
Alternative Mailing
• pliance
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
-.?
Owner/Occupant Signature
Service Lateral In9pection Findings
-"
Roots \ -r
am
Pm
Poor Pipe Joints
/
4" to 6" Transition:
White Copy: Property Owner
1
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
Record Number
7)
r("._.-V V.f
[Time • p
Notes
•
inspector Signature
For irtfort call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks Entered S L at -
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe i
,.../ ,..-- ...
„---- ----..) 4 / .../
Transition ) i C31 ) 40 ...,_ r".:-/ (--: A ,) , •
„/
ti•
Length of Service: Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH