2145 Marble Lane - Inspection Form 1
Residential Sanitary Sewer Service
City of I! Compliance Inspection
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i Time r Record Number Ad/
Date / Pm
_ I/ OFam
Name Disk # 11Time Pm
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PID Number 1
House Number i 4-yi 5treet Name
Alternative Mailing Address Phone
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Ownerl0ccupant Signature Inspector Sigdature
For information call 65 11.470.2788
Compliance Non-Compliance Obstruction No Access
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No foundation drain connection O Clear water, connections to Unable to push past No one in
sanitary sewer % feet O Access to service
No roof drain connection
I q O Service lateral defects` lateral needed
O Sump pit not connected to
O Defective manholes . i
sanitary sewer ' ' ~~.r_!s O Inspection
O Sump pump connected to sanitary ~ refused
O Sump pump properly piped sewer
71 No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks ! Entered S..L.at .
Roots Poor, Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6"transition: Length of Service: Final Cleanout:
Notes
Number Discharged
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Total Correctly Incorrectly Unknown
Sump pumps r
Foundation drains
Roof drains ii,-,_-:~ /r. y"~ ~J <
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH