2090 Diffley Rd - Inspection FormSump pumps
Foundation drains
fi .- ° ' \ 1
Roof drains
City of F,a ii
Residential Sanitary Sewer Service
Compliance Inspection
Name
Alternative Mailing Address
f
PID Number
House Number 'I Street Name
Owne'rlOccupant Signature
For information call 651.470.2788
Compliance
. No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
f1
Service Lateral Inspection Findings
Roots r r
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
1 2• `Z- p am
Time • pm
Phone
Non — Compliance
O Clear water connections to Unable to push past
sanitary sewer feet.
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Total
Correctly
Number of stacks
f 1
Length of Service: r
Number Discharged
Incorrectly Unknown
Record Number
Notes
'' Time
7-1
Obstruction
!n pector Signature
Entered S L,at
�o am
�S pm
;
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
e
Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH '
4 11. City HE halm
Residential Sanitary Sewer Service
Compliance Inspection
V
Date / /
(--")
Name -4-1' -;
)
. :1 44isk rfl
PID Number
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time
pm
L
Non-Compliance, s
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
,e'..
' 1:-.
House Number -,;:„ i --- i ' /Street Name / - i
`,.
...". 7 i
/.." k;:
,
Alternative Mailing Address ,. Phone ti
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S L at
Root
...) .-.. ('
Poor Npe Jo i7ts r . ',:/ . 10,; --- ' i ,' „,,,- 1,, ir'
- (.. , 4- -,:.,
MinerA 'posits . r-1 , / ,.,....„,- i _ ,...-2,
,.... . {,..„.,.....,..?
....—...
J
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet
0 am
•
• Oprn
7 7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Sag/Pipe Deflectiop----
/ \
Dapiaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service: Final Cleanout:
Notes
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
Foundation drains
MIIIIIIIII
Roof drains
MEI
4 11. City HE halm
Residential Sanitary Sewer Service
Compliance Inspection
V
Date / /
(--")
Name -4-1' -;
)
. :1 44isk rfl
PID Number
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time
pm
L
Non-Compliance, s
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
,e'..
' 1:-.
House Number -,;:„ i --- i ' /Street Name / - i
`,.
...". 7 i
/.." k;:
,
Alternative Mailing Address ,. Phone ti
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S L at
Root
...) .-.. ('
Poor Npe Jo i7ts r . ',:/ . 10,; --- ' i ,' „,,,- 1,, ir'
- (.. , 4- -,:.,
MinerA 'posits . r-1 , / ,.,....„,- i _ ,...-2,
,.... . {,..„.,.....,..?
....—...
J
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet
0 am
•
• Oprn
7 7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Sag/Pipe Deflectiop----
/ \
Dapiaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service: Final Cleanout:
Notes
Yellow Copy: City of Eagan Pink Copy: SEH