2082 Diffley Rd - Inspection Form4 a,
City of liaiali .
Residential Sanitary Sewer Service
Compliance Inspection
Date (7 71 Cam' 1
Name / i /./. ✓° %),/ Disk #
PID Number
House Number 706 Street Name _ /)/ '' ?'
Alternative Mailing Address
a;s
OwnerlOccupant Signature
Compliance
No foundation drain connection
1,> No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots a 7.6 5
Damaged Pipe
Transition
4" to 6" Transition: J
,.'" Length of Service:
r
White Copy: Property Owner
I/ • J ; rYam
Time / • o p
Yellow Copy: City of Eagan
Number of stacks
[1
Non - Compliance
O Clear water• connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer �7
O Flexible sump pump piping
Record Number
Pho
For information call 651.470.2788
Entered S L at
Obstruction No Access
Unable to push past 0 No one in
feet
Notes (1 0
•
Time •
r' inspector Signature
Y
o pm
Poor Pipe Joints,
Mineral Deposits,
Sag /Pipe Deflection
Final Cleanout:
J -A
am
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SFH -
Total
N umber
Discharged ,
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
'
---•– -
Roof drains
— - --
._._.
,._,__._
4 a,
City of liaiali .
Residential Sanitary Sewer Service
Compliance Inspection
Date (7 71 Cam' 1
Name / i /./. ✓° %),/ Disk #
PID Number
House Number 706 Street Name _ /)/ '' ?'
Alternative Mailing Address
a;s
OwnerlOccupant Signature
Compliance
No foundation drain connection
1,> No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots a 7.6 5
Damaged Pipe
Transition
4" to 6" Transition: J
,.'" Length of Service:
r
White Copy: Property Owner
I/ • J ; rYam
Time / • o p
Yellow Copy: City of Eagan
Number of stacks
[1
Non - Compliance
O Clear water• connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer �7
O Flexible sump pump piping
Record Number
Pho
For information call 651.470.2788
Entered S L at
Obstruction No Access
Unable to push past 0 No one in
feet
Notes (1 0
•
Time •
r' inspector Signature
Y
o pm
Poor Pipe Joints,
Mineral Deposits,
Sag /Pipe Deflection
Final Cleanout:
J -A
am
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SFH -