2018 Diffley Rd - Inspection FormCit
Residential Sanitary Sewer Service
Compliance Inspection
Date 7/ • 1 )/
Name
PID Number
House Number
ti
Corrtlpliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Latgr Inspection Findings
Roots
Poor Pipejoints
4" to b "Transition: ; ` ::
White Copy: Property Owner
•w , %$9 pmni
, a
Time �
Street Name
Alternative Mailing Address
Owner /Occupant Signature
r Y
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
e Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
i4
0
Nbeof stacks
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition , 1 d / > /)T) f
Yellow Copy: City of Eagan
Record Number
Phone %:
Entered S L at
•
Inspector Signature
obstruction
Unable to push past
feet
'— f
Length of Service: / 9 - T�-i-Final Cleanout:
am
p
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
'
Notes
77 i
C
r�
/ _1� r... --f_ ?� _ i t r
Pink Copy: SEH
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
iIt
– "
Foundation drains
( '
Roof drains
i
7 )
Cit
Residential Sanitary Sewer Service
Compliance Inspection
Date 7/ • 1 )/
Name
PID Number
House Number
ti
Corrtlpliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Latgr Inspection Findings
Roots
Poor Pipejoints
4" to b "Transition: ; ` ::
White Copy: Property Owner
•w , %$9 pmni
, a
Time �
Street Name
Alternative Mailing Address
Owner /Occupant Signature
r Y
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
e Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
i4
0
Nbeof stacks
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition , 1 d / > /)T) f
Yellow Copy: City of Eagan
Record Number
Phone %:
Entered S L at
•
Inspector Signature
obstruction
Unable to push past
feet
'— f
Length of Service: / 9 - T�-i-Final Cleanout:
am
p
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
'
Notes
77 i
C
r�
/ _1� r... --f_ ?� _ i t r
Pink Copy: SEH