2070 Diffley Rd - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Co
=.0 21)
Date / I
Name Disk tt:
House Number
• Iiance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
y No sump pump
Poor Pipejoints
4" to 6" Transition:
Time •_% a
PID Number
Street Name
Alternative Mailing Address
OwnerlOccupant Signature
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 Late alldil Findings Number of stacks
Roots _
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
7
„< 6 7
r
/1
Length of Service: ; Cleanout,
White Copy: Property Owner
Yellow Copy: City of Eagan
,of
Record Number
Time
(
Phone 6 ) 7
inspector Signature
Obstruction
Unable to push past
feet
Entered S.L. at
Notes
/7
•
• pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1 . A
4,.'frf
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
y
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Co
=.0 21)
Date / I
Name Disk tt:
House Number
• Iiance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
y No sump pump
Poor Pipejoints
4" to 6" Transition:
Time •_% a
PID Number
Street Name
Alternative Mailing Address
OwnerlOccupant Signature
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 Late alldil Findings Number of stacks
Roots _
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
7
„< 6 7
r
/1
Length of Service: ; Cleanout,
White Copy: Property Owner
Yellow Copy: City of Eagan
,of
Record Number
Time
(
Phone 6 ) 7
inspector Signature
Obstruction
Unable to push past
feet
Entered S.L. at
Notes
/7
•
• pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1 . A
4,.'frf
Pink Copy: SEH