4233 Diamond Dr - Inspection Forms41111
Eity of liagn
Residential Sanitary Sewer Service
C omp li ance Inspection
Date 6 Or / ./e?
Name Z.S.,4
PID Number
House Number
4,4
/..„, • cAm
Time ./c- • e '
0 pm
Street Name
Alternative MailingAddress
i
,f)
, --
OwnerlOccUpUnt Signature
FT1-1E1
For information call 651.470.2788
Compliance
O 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
Service Lateral Inspection Findings
4" to 6"Transition:
White Copy: Pr oper ty Owner
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
Number of stacks
Length of Service:
Record Number
arrl
•
Time • 0 pm
Phone 7;?....C4
)
(.,
. -
/Thspctor Signature
----
- Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
C-u,)
Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Yellow Copy: City of Eagan-- (i (41 er
Total
Notes
itI
.1---- -
1-,1
—.. A/ c .:„ . fry
c . c 2 , t . / /1 ,...
- " r fe_
- . .
.Number:Discharged
-.
. ... .
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
/T/L1 /
,
A.4."-`•
Roof drains
41111
Eity of liagn
Residential Sanitary Sewer Service
C omp li ance Inspection
Date 6 Or / ./e?
Name Z.S.,4
PID Number
House Number
4,4
/..„, • cAm
Time ./c- • e '
0 pm
Street Name
Alternative MailingAddress
i
,f)
, --
OwnerlOccUpUnt Signature
FT1-1E1
For information call 651.470.2788
Compliance
O 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
Service Lateral Inspection Findings
4" to 6"Transition:
White Copy: Pr oper ty Owner
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
Number of stacks
Length of Service:
Record Number
arrl
•
Time • 0 pm
Phone 7;?....C4
)
(.,
. -
/Thspctor Signature
----
- Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
C-u,)
Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Yellow Copy: City of Eagan-- (i (41 er
City of boo
Residential Sanitary Sewer Service
Compliance Inspection
Datee/
Name P r / /4742. f7r/r / r
PID Number
House Number
Alternative Mailing Address
;r
r e Street Name
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6 "Transition:
Owner /Occuporit S ignature
White Copy: Property Owner
1 : c , :earn
Time IS • o pm
Disk #
Non - Compliance
0
O
O
O
0
Record Number
1
Obstruction
Unable to push past
feet
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks w Entered S L. at
("it/6i figig )
Length of Service:
Yellow Copy: City of Eagan
1 /
T ime �c •
Final Cleanout:
q am
0 pm
Pone
} /
f f Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
SagJPipe Deflection 77 .
Damaged Pipe /,
Transition
C
1
Pink Copy: SEH
Nursber
Correctly
Discharged
Incorr ectly
Unknown
Total
Sump pumps
7 e -
�,e
—_—
Foundation drains
_
Roof drains
r y
._
�-
City of boo
Residential Sanitary Sewer Service
Compliance Inspection
Datee/
Name P r / /4742. f7r/r / r
PID Number
House Number
Alternative Mailing Address
;r
r e Street Name
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
4" to 6 "Transition:
Owner /Occuporit S ignature
White Copy: Property Owner
1 : c , :earn
Time IS • o pm
Disk #
Non - Compliance
0
O
O
O
0
Record Number
1
Obstruction
Unable to push past
feet
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks w Entered S L. at
("it/6i figig )
Length of Service:
Yellow Copy: City of Eagan
1 /
T ime �c •
Final Cleanout:
q am
0 pm
Pone
} /
f f Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
SagJPipe Deflection 77 .
Damaged Pipe /,
Transition
C
1
Pink Copy: SEH