4084 Diamond Dr - Inspection FormsResidential Sanitary Sewer Service
Compliance Inspection
Date / 7 /
Name - 3 - ;1�
PID Number
House Number
Alternate
Transition
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
4" to 6" Transition:
White Copy: Property Owner
Time
Tits Address
Owner /Odupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection •
Damaged Pipe
Disk #
lies mg&
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
o am
o pm
Street Name
For Information call 651.470.2788
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number ,P 1 9 t
Obstruction
Unable to push past
1 ] j am✓ feet.
7
Time
o am
O pm
Phone (,1 - r7( - 5
Inspector Signature
No Access
O No one in
o Access to service lateral
needed
O Inspection refused
Entered S L at 777,,t, 4- C. p,,,
Final Cleanout:Z
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
N otes
r�� .,
1
- '6
, :.
.
r3
(„A. S
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
0
Foundation Drains
Roof Drains
Residential Sanitary Sewer Service
Compliance Inspection
Date / 7 /
Name - 3 - ;1�
PID Number
House Number
Alternate
Transition
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
4" to 6" Transition:
White Copy: Property Owner
Time
Tits Address
Owner /Odupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection •
Damaged Pipe
Disk #
lies mg&
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
o am
o pm
Street Name
For Information call 651.470.2788
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number ,P 1 9 t
Obstruction
Unable to push past
1 ] j am✓ feet.
7
Time
o am
O pm
Phone (,1 - r7( - 5
Inspector Signature
No Access
O No one in
o Access to service lateral
needed
O Inspection refused
Entered S L at 777,,t, 4- C. p,,,
Final Cleanout:Z
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Residential Sanitary Sewer Serv
Compliance Inspection
Date;
1
Name
ag p am
Time • 7 pm
iI Disk#
PID Numbers._
House Number f ? � -- r Street Name
Alternative Mailing Address
} r. Owner /Occupant Signature
Sump pumps
Foundation drains
Roof drains
Record Number'
3 .
Yo am
�� •
Time • — 0 Pm
/ 1 j
Phone
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
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
Access to service .
lateral needed
y f�1
0 inspection
r efused
nformation call 65 470.2788
Notes
l
4 )
Inspector Signature
•
__--- __ -1 -- —��- Pink Copy: SEH
~ -- Yellow Copy: City of Eagan
White Copy: Property Owner