4346 Diamond Dr - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date / / . !
Nam 1 ,.%, r`� /1
PID Number
J � i
House Number .. A /- Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
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 of stacks
Roots /
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition
4" to 6" Transition:
6
}(.)
/ Disk #
fj
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connects
sewer
O Flexible sump pump piping
K
Length of Service: 2_
White Copy: Property Owner
Record Number
i
1
1 - 1 Time (/
- z ,L
Phone W
C� .. = , .
Obstruction
Unable to push past
feet
Entered S . at
Notes
Inspector Signature
.,Einal Cleanout:
� L 1 /i21
am
P
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Fagan Pink Copy: SER
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
l \-
Residential Sanitary Sewer Service
Compliance Inspection
Date / / . !
Nam 1 ,.%, r`� /1
PID Number
J � i
House Number .. A /- Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
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 of stacks
Roots /
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
'Transition
4" to 6" Transition:
6
}(.)
/ Disk #
fj
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connects
sewer
O Flexible sump pump piping
K
Length of Service: 2_
White Copy: Property Owner
Record Number
i
1
1 - 1 Time (/
- z ,L
Phone W
C� .. = , .
Obstruction
Unable to push past
feet
Entered S . at
Notes
Inspector Signature
.,Einal Cleanout:
� L 1 /i21
am
P
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Fagan Pink Copy: SER