4315 Diamond Dr - Inspection FormCtty
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name i)
PID Number
House Number # ) 5 Street Name
Alternative Mailing-Address
f
/ ,
r' t
O vrrerl0ccupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
rYNo sump pump
4" to 6" Transition:
White Copy: Property Owner
•� am
Time 7- pm
Disk #
Non - Compliance
0
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Surnp pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered 5 L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe / f
Transition ) - 1`7 r
Length of Service:
/ r
Yellow Copy: City of Eagan
Record Number!
Time •
4/1/�:
Phone .)
Obstruction
Unable to push past
feet
Cleanout:
Inspector Signature
For information call 651.470.2788
No Access
O No one in
am
0 pm
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Ctty
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name i)
PID Number
House Number # ) 5 Street Name
Alternative Mailing-Address
f
/ ,
r' t
O vrrerl0ccupant Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
rYNo sump pump
4" to 6" Transition:
White Copy: Property Owner
•� am
Time 7- pm
Disk #
Non - Compliance
0
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Surnp pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered 5 L at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe / f
Transition ) - 1`7 r
Length of Service:
/ r
Yellow Copy: City of Eagan
Record Number!
Time •
4/1/�:
Phone .)
Obstruction
Unable to push past
feet
Cleanout:
Inspector Signature
For information call 651.470.2788
No Access
O No one in
am
0 pm
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH