4268 Diamond Dr - Inspection Form-,Sump pumps
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Fgundation drains
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Roof drains
9
4111111
City fit Lalan
R Sanitary. Sewer Service
Compliance Inspection
27:3
Dater /
Name r
PID Number
House Number Street Name
Alternative MailingAddress
For information call 651.470.2788
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No foundation drain connection
No roof drain connection
O Sump pit noc connected to
sanitary sewer
O Sump pump properly piped
No sump pump
).0 -
VVV., . .
•
OwnerlOccupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6"Transition:
White Copy: Property Owner
Time
cy am
pni
7 2
Phone 712 c"
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
Number of stacks
)(7
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
9 Time
r 4
inspector Signature
Obstruction
Unable to push past
feet
Entered S L. at
N otes
y am
)
• PM
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH