4262 Diamond Dr - Inspection FormCity I' Eaa
Residential Sanitary Sewer Service
Compliance Inspection
Date 21 (7
Name 4_rf e" / --" Disk #
PID Number
House Number
Owner /Occupari Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
o sump pump
4" to 5 "Transition:
474'?
White Copy: Property Owner
Time f.1 7t . 0 pm
Street Name
Alternative Mailing Address
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 Number of stacks
�J AY, :s Length of Service: / / '
Yellow Copy: City of Eagan
Record Number
i -1
Phone
f
N otes
pram
Time 0 f ® ' o pm
o ff
i &'..f ./ / .a
i ffector Signature
For information call 651
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at 1 r ((7 2
Roots
Poor Pipe joints
Mineral Deposits ff 4
Sag /Pipe Deflection
Damaged Pipe
Transition
L/ V — . r "
Final Cleanout: t -
Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
,e
Foundation drains
g ----_—_—__-------------
Roof drains
9 ., ,
.....___________...
City I' Eaa
Residential Sanitary Sewer Service
Compliance Inspection
Date 21 (7
Name 4_rf e" / --" Disk #
PID Number
House Number
Owner /Occupari Signature
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
o sump pump
4" to 5 "Transition:
474'?
White Copy: Property Owner
Time f.1 7t . 0 pm
Street Name
Alternative Mailing Address
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 Number of stacks
�J AY, :s Length of Service: / / '
Yellow Copy: City of Eagan
Record Number
i -1
Phone
f
N otes
pram
Time 0 f ® ' o pm
o ff
i &'..f ./ / .a
i ffector Signature
For information call 651
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at 1 r ((7 2
Roots
Poor Pipe joints
Mineral Deposits ff 4
Sag /Pipe Deflection
Damaged Pipe
Transition
L/ V — . r "
Final Cleanout: t -
Pink Copy: SEH