4221 Diamond Dr - Inspection FormSump pumps
( � 7
�--'`
Foundation drains
Roof drains
City of Eap9
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
F1D Number
House Number
Alternative Mailing Addr'ess
Compliance
Service Lateral Inspection Findings
4" to 6" Transition:
4
•
' J �
White Copy: Property Owner
am
Time to p
L1 #
Street Name
OwnerlOccupant Signature
Total Correctly
M.1
Non - Compliance
�o No foundation drain connection 0 Clear water connections to
p No roof drain connection
// O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number. Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan
LID
Record Number
7Tirne
Phone .". ) t
/1
Number of stacks 1 Entered S L.at
am
O pm
Inspector Signature
For information call 651:470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
r`SaglPipe Deflection''" �r
Damaged Pipe
el 1
Transition ; I rj �ir,?� r 3�/.... f r 7 c " ` ' j - r xi ? /044(=L)
Length of Service: J..; ; , ... Final Cleanout:
i _5740
/r(
Notes
-/ � ` / J
. f +`gyp _L... -J F KT 7 L�/d
6/- i 1 f l tG
Pink Copy: SEH