4334 Diamond Dr - Inspection FormCity of Calaa
Residential Sanitary Sewer Service
Compliance Inspection
Date 6) 6 / 2/ /
Name
HD Number
House Number 2•.? Street Name
Alternative MailingAddress
L
For information call 65
Compliance
O No foundation drain connection
QrNo roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
K Y No sump pump
S re vice.Lateral Inspection Findings
Roots / d , Z1.
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe j a
Transition . /.,1,' !WYE-, / '7,. { 1
4" to 6" Transition:
Owner /Occupant Signature
/Y //1
White Copy: Pr oper ty Owner
s� • am
Time / 111' Pm
Disk #
0
Lz_
Non - Compliance
> Clear water connections to
sanitary sewer 71/'
O Service lateral defect
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
I Entered S L at ' T )4-
Length of Service:
W
697/ire
Yellow Copy: City of Eagan.
Record Number
Obstruction
Unable to push past
feet
Notes
1 • r lam
Time t • prn
Inspector Signature
Pone_
�a)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: JL 2
2 O f / (6--5 0647/1/
/ ; G
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
A
7
Roof drains
�t
_.. __ _._..__
..__.._ _ __
►
City of Calaa
Residential Sanitary Sewer Service
Compliance Inspection
Date 6) 6 / 2/ /
Name
HD Number
House Number 2•.? Street Name
Alternative MailingAddress
L
For information call 65
Compliance
O No foundation drain connection
QrNo roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
K Y No sump pump
S re vice.Lateral Inspection Findings
Roots / d , Z1.
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe j a
Transition . /.,1,' !WYE-, / '7,. { 1
4" to 6" Transition:
Owner /Occupant Signature
/Y //1
White Copy: Pr oper ty Owner
s� • am
Time / 111' Pm
Disk #
0
Lz_
Non - Compliance
> Clear water connections to
sanitary sewer 71/'
O Service lateral defect
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
I Entered S L at ' T )4-
Length of Service:
W
697/ire
Yellow Copy: City of Eagan.
Record Number
Obstruction
Unable to push past
feet
Notes
1 • r lam
Time t • prn
Inspector Signature
Pone_
�a)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: JL 2
2 O f / (6--5 0647/1/
/ ; G
Pink Copy: SEH