2053 Marble Lane - Inspection Form4 1k. Residential Sanitary Sewer Service
CitY al tap Compliance Inspection
Date 4 7/ 1(1
Name /77 #
PID Number
House Number
Alternative Mailing Address
Owner/Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
roof drain connection
O Sump pit not connected to
sanitary sewer
C::) Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
• --,- 0 am
Time .°=,-" • LA 0 p
Street Name
Mineral Deposits
▪ 5
Sag/Pipe Deflection
4" to 6" Transition: ,
White Copy: Property Owner
0
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
Number of stacks Entered S L at c)
79
f,-.? Length of Service: fi
Yellow Copy: City of Eagan
Record Number
„--71
Obstruction
Unable to push past
feet
Time
Oort.iar'
plam
ID pm
•
7 .12-
Phone
/ I/ inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Damaged Pipe
Transition
Final Cleanout: '
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes 4 ,
E & ... ., ,...
cvr
- , .. - ..
x- /
Total
Sump pumps
iv
://,,,
IIIM
Foundation drains
Roof drains
...._-
4 1k. Residential Sanitary Sewer Service
CitY al tap Compliance Inspection
Date 4 7/ 1(1
Name /77 #
PID Number
House Number
Alternative Mailing Address
Owner/Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
roof drain connection
O Sump pit not connected to
sanitary sewer
C::) Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
• --,- 0 am
Time .°=,-" • LA 0 p
Street Name
Mineral Deposits
▪ 5
Sag/Pipe Deflection
4" to 6" Transition: ,
White Copy: Property Owner
0
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
Number of stacks Entered S L at c)
79
f,-.? Length of Service: fi
Yellow Copy: City of Eagan
Record Number
„--71
Obstruction
Unable to push past
feet
Time
Oort.iar'
plam
ID pm
•
7 .12-
Phone
/ I/ inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Damaged Pipe
Transition
Final Cleanout: '
Pink Copy: SEH