4245 Diamond Dr - Inspection FormCity of Eapn
Residential Sanitary Sewer Service
Compliance Inspection
Date 71 G 71 /I
Alternative Mailing Address
Sag /Pipe Deflection
• dam
Time • C-42
Name i f`C s ✓/ (-1/ Disk #
(t - 41A.+ /e)
PID Number
House Number _ < Street Name
Owner /Occupant Signature
Compliance
No foundation drain connection
I -C No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number
Roots .-� r° .6 ;
Poor Pipe Joints
Mineral Deposits /
White Copy: Proper ty Owner
—f1J— a kJ
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
of stacks -
- Length of Service:
Yellow Copy: City of Eagan
Record Number a 1
•� am
Time ' o • - o pm
Phoj e S� J e/ ' c 7
i i' Inspector Signature
Obstruction
Unable to push past
feet
For information call 651.470.2788
Entered S L at rf '
Damaged Pipe
'Transition
4" to 6" Transition: 7/Z--1./,./,--1A"''' o - A'
Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
r efused
Pink Copy: SEH
Number
Correctly
-
Discharged
Incorrectly Unknown
!totes „A 0 r (., - �;2 .rte
Ci f �� -; -/
y.
ti
Total
Sump pumps
Foundation drains
s
Roof drains
f
. �
t
_._ _...
. - --
City of Eapn
Residential Sanitary Sewer Service
Compliance Inspection
Date 71 G 71 /I
Alternative Mailing Address
Sag /Pipe Deflection
• dam
Time • C-42
Name i f`C s ✓/ (-1/ Disk #
(t - 41A.+ /e)
PID Number
House Number _ < Street Name
Owner /Occupant Signature
Compliance
No foundation drain connection
I -C No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number
Roots .-� r° .6 ;
Poor Pipe Joints
Mineral Deposits /
White Copy: Proper ty Owner
—f1J— a kJ
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
of stacks -
- Length of Service:
Yellow Copy: City of Eagan
Record Number a 1
•� am
Time ' o • - o pm
Phoj e S� J e/ ' c 7
i i' Inspector Signature
Obstruction
Unable to push past
feet
For information call 651.470.2788
Entered S L at rf '
Damaged Pipe
'Transition
4" to 6" Transition: 7/Z--1./,./,--1A"''' o - A'
Final Cleanout:
No Access
O No one in
O Access to service .
lateral needed
O Inspection
r efused
Pink Copy: SEH