2082 Marble Lane - Inspection Form 14 tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date_ 1 / JC__
Name
PID Number
Alternative Mailing Address Phone r'/; 2 4 — :7
House Number
2-- 1:)
For information call 651.470.2788
Compliance
O 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 F indins
Roots - , ' .� / v
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ' ( 1 / 1 - -47
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
Owner /Occupant Signature
�,. Street Name
Non — Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks 1 Entered S . at _- 'f`
Length of Service: (;-�
Yellow Copy: City of Eagan
Record Number
1 - Time
Obstruction
Unable to push past
feet
• c_ O em
• __________A pm
inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly Unknown, x ��
N � / / ' 6 'v" 7O1 )
x ,
+} L� J � ! f "r Y !
1
/ f ' f l
Sump pumps
d
Foundation drains
J . l ` 1.
Roof drains
/.i --� � _ `� f (
` i 1 E
4 tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date_ 1 / JC__
Name
PID Number
Alternative Mailing Address Phone r'/; 2 4 — :7
House Number
2-- 1:)
For information call 651.470.2788
Compliance
O 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 F indins
Roots - , ' .� / v
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ' ( 1 / 1 - -47
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
Owner /Occupant Signature
�,. Street Name
Non — Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks 1 Entered S . at _- 'f`
Length of Service: (;-�
Yellow Copy: City of Eagan
Record Number
1 - Time
Obstruction
Unable to push past
feet
• c_ O em
• __________A pm
inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH