4244 Diamond Dr - Inspection Form44111N
City el taEn
Residential Sanitary Sewer Service
.
Compliance Inspection
Date -.
Name
PID Number
House Number
/A)
Alternative Mailing Address
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
i No surnp pump
Service Lateral Inspection Findings Number of stacks
Roots
Poci .Pipe J ints
Mine ?l eposits
Sag/Pi? Deflection
DarrAge Pipe
/
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
(clime
pm
Disk #
2-
Street Name
Owner/Occupant Signature
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
Length of Service:
1
Yellow Copy: City of Eagan
4
Record Number
'Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered St at
Final Cleanout:
Pm
/
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
I 1
- 7 L - i ''' )
C i / 1 —
,---
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
c
Foundation drains
Roof drains
44111N
City el taEn
Residential Sanitary Sewer Service
.
Compliance Inspection
Date -.
Name
PID Number
House Number
/A)
Alternative Mailing Address
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
i No surnp pump
Service Lateral Inspection Findings Number of stacks
Roots
Poci .Pipe J ints
Mine ?l eposits
Sag/Pi? Deflection
DarrAge Pipe
/
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
(clime
pm
Disk #
2-
Street Name
Owner/Occupant Signature
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
Length of Service:
1
Yellow Copy: City of Eagan
4
Record Number
'Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered St at
Final Cleanout:
Pm
/
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
I 1
- 7 L - i ''' )
C i / 1 —
,---
City ai'`1,a as
Residential Sanitary Sewer Service
Compliance Inspection
Date / I „} Time
t 3
Name � / I Disk #
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition : 7 r
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
(
pm
Record Number
(
Phone c t
For information call 651.470.2788
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
Service Lateral Inspection Findings hl...__t___. of _`__I__ Entered r1 _ / ..r w /45 �F~ "Y '�
-
Roots
Poor PipeJoints
Mineral Deposits
f' I r/7�.
Length of Service: ,
Yellow Copy: City of Eagan
Time ..,"'., •
inspector Signature
Obstruction
Unable to push past
feet
' - Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes /I
i ,.�: ,.. �� e.1
Total
Sump pumps
Foundation drains
, r f ' --".
, ,='-' -
; f� __I
Roof drains
/ `�
%")
(j); ° "
City ai'`1,a as
Residential Sanitary Sewer Service
Compliance Inspection
Date / I „} Time
t 3
Name � / I Disk #
PID Number
House Number Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
Damaged Pipe
Transition : 7 r
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
(
pm
Record Number
(
Phone c t
For information call 651.470.2788
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
Service Lateral Inspection Findings hl...__t___. of _`__I__ Entered r1 _ / ..r w /45 �F~ "Y '�
-
Roots
Poor PipeJoints
Mineral Deposits
f' I r/7�.
Length of Service: ,
Yellow Copy: City of Eagan
Time ..,"'., •
inspector Signature
Obstruction
Unable to push past
feet
' - Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH