2126 Marble Lane - Inspection Form'
Number
Correctly
Discharged
Incorrectly Unknown
Notes o 0 r �a&�� 1 - -
I , L , A,,
Total
Sump pumps
9""
_
Foundation drains
-
r
-
Roof drains
City ot ta p
Residential Sanitary Sewer Service
Compliance Inspection
Date_ C / /,!J
Name - 1r)/#J
PID Number
_ -Owner /Occupant Signature
Compliance
No foundation drain connection
r ip No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
sump pump
Service Lateral Inspection Findings Number of stacks
Roots 9
4" to 6" Transition: fO 1\
White Copy: Property Owner
Time M •'' U 'b pm
Disk #
0
0
t -- 7 - Length of Service:
Yellow Copy: City of Eagan
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
Record Number
C
House Number 1 Street Name � �f
Alternative Mailing Address Phone /) 7/ J7.5'7
p /
e ` / ,/
For Signature
s
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered St at r & C. )
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection P 'r ▪ ' % N ,- � f 6--/m 7,6
Damaged Pipe
Transition
1
J Dam
Time ! • i7 O pm
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
:
Pink Copy: SEH