2046 Diffley Rd - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date z -mot
Name
PID Number
f 1
House Number t i Street Name
Alternative Mailing Address
'OwnerIOccupan't Signature
orn� pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots r'
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1
Transition
JAq
4" to 6" Transition:
1 LI •
i
White Copy: Property Owner
o
Time
I
/I/42Y Disk #
am
Pm
Record Number
}
Phone { �' f C
L
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
j umber of stacks
Length of Ser vice:
7
Entered S.L at '���
Notes
Inspector Signature
-
Obstruction
Unable to push past
feet .
j u
1 • ' o prn
As X
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: i •/ _.
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incor•r•ectly
Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date z -mot
Name
PID Number
f 1
House Number t i Street Name
Alternative Mailing Address
'OwnerIOccupan't Signature
orn� pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots r'
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
1
Transition
JAq
4" to 6" Transition:
1 LI •
i
White Copy: Property Owner
o
Time
I
/I/42Y Disk #
am
Pm
Record Number
}
Phone { �' f C
L
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
j umber of stacks
Length of Ser vice:
7
Entered S.L at '���
Notes
Inspector Signature
-
Obstruction
Unable to push past
feet .
j u
1 • ' o prn
As X
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: i •/ _.
Yellow Copy: City of Eagan Pink Copy: SEH