2078 Marble Lane - Inspection FormCity of Eapit
Residential .Sanitary Sewer Service
Compliance inspection
}
Date / I ...._ 1 i i
Name
PID Number
House Number
Alternative Mailing Address
1
Service Lateral
Roots
Damaged Pipe
Transition
No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
/ •C ,J o
i
Time ..e, • # pm
r7 : i� '� )Disk#
Owner /Occupant Signature
For information call ``651.470.2788
ojInpliance
No foundation drain connection
i spectiof Findings
Poor Pipe Joints.
Mineral Deposits
Deflection
/ 1
4" to 6" Transition: r 1.1 �
White CopyrProperty Owner
9
Street Name
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 ' f
Length of Service:
Yellow Copy: City of Eagan
Record Number 1
Obstruction
Unable to push past
feet.
Phone
4 ,,7-
,!'> > ': d
inspector Signature
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L. at s
r LFinal Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged,
Incorrectly Unknown
Notes
Total
Sump pumps
i' :J
Foundation drains
Roof drains
�o,.....,p = )�m°n
City of Eapit
Residential .Sanitary Sewer Service
Compliance inspection
}
Date / I ...._ 1 i i
Name
PID Number
House Number
Alternative Mailing Address
1
Service Lateral
Roots
Damaged Pipe
Transition
No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
/ •C ,J o
i
Time ..e, • # pm
r7 : i� '� )Disk#
Owner /Occupant Signature
For information call ``651.470.2788
ojInpliance
No foundation drain connection
i spectiof Findings
Poor Pipe Joints.
Mineral Deposits
Deflection
/ 1
4" to 6" Transition: r 1.1 �
White CopyrProperty Owner
9
Street Name
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 ' f
Length of Service:
Yellow Copy: City of Eagan
Record Number 1
Obstruction
Unable to push past
feet.
Phone
4 ,,7-
,!'> > ': d
inspector Signature
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L. at s
r LFinal Cleanout:
Pink Copy: SEH