4172 Diamond Dr - Inspection Forms.
,
.
Nuniher
- -;-'Correctly
Discharged
Incorrectly
.. .. -
Unknown
Total
Sump pumps
Foundation drains
Roof drains -:•-.
-- - ..
---- ---
1111111-
Cito1
Residential Sanitary Sewer Service
Compliance lnspecti ®n
Date °7/ /
Name ■Ze"Ze / 110 4 - Disk #
PID Number
House Number
.-//
Alternative Mailing Address
4" to 6"Transition:
White Copy: Property Owner
Owner/Occahant Signature
Compliance
O No foundation drain connection
1 \ 0 / No roof drain connection
O Sump pit not connected to
sanitary sewer
Sump pump properly piped
.9 No sump pump
Service Later al Insp5ction Findings
Z /S -
Roots 1
/ 1 -
7
/6
Time • •
/
Street Name
ee1y d of Service:
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
Yellow Copy: City of Eagan
Record Number
0
Phone '
./L./
/
Obstruction
Unable to push past
feet.
Numbecof stacl<s Entered S L at
__
Ar
,
Poor Pipe Joints
r
Mineral Deposits 7.
Sag/Pipe Deflection
Damaged Pipe
-
Transition ("-.7 L / /7 ZT
Notes
la Time
Inspector Signature
t/)6
t
f ro - am
0 Pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Date (26 / 0 / 1 / /0
Name / z4//'/
PID Number
Street 7).
House Number Street Name if
Alternative Mailing Address Phone `,/ 0
7
r i )
Owner/Occupant Signature
In4ector Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
P O \ No sump pump
Service Lateral I,pection Findings Number of stacks Enter ed S L at
Roots Z3
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection .
Damaged Pipe
19"
1/ (e' AC.—
'Transition ./ 0 1 .
4" to 6"Transition:
Roof drains
■•■••■••■•••
White Copy: Property Owner
Time /0 • • *'am
o p.
Disk #
0
1
Non-Compliance
O Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
/ 0
7
„, A
Yellow Copy: City of Eagan
Record Number
y
• 4:7;1 .4 am
Time ) • "( -;" 0 pm
/Kv
Length of Service:
Obstruction
Unable to push past
ert5 feet
-071,
71-r
N otes -- L//V/'L 0 6,,, - ovi.-A---
( e.'f , SIT> - , -.4.1j W-er ,,f"; 1 - - - (6
/47-ycr _,,v)4 -t ,.3/k -r--
6
___..
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
(1a
1/(Z, //
f
Pink Copy: SEH