2062 Marble Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date 02 / / 1 / 2
Alternative Ma lin6kdd ss
Compli . ce
Itc No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
/ • ap ant
Time / • o pm
Name 7/27," 2 V
PID Number
House Number . Street Name
Disk #
For information. tall 651.470.2788
OwnerlOccupant Signature
7
1
L
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
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
i 4 // Length of Service:
4" to 6 "Transition: � . �. .- f ,i� ` .� • , '
White Copy: Property Owner
Record Number
f • o am
Time f . 0 pm
tC,,/
Phones <'"
inspector Signature
Obstruction
Unable to push past
feet
Number of stacks Entered S 1_ at 7
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O inspection
refused
Notes` F,
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
3sr
> _.___.._.__.._...__.-...,.
_a_v_.__..._...W_.
.
Roof drains
'r-'
- •--
Residential Sanitary Sewer Service
Compliance Inspection
Date 02 / / 1 / 2
Alternative Ma lin6kdd ss
Compli . ce
Itc No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
/ • ap ant
Time / • o pm
Name 7/27," 2 V
PID Number
House Number . Street Name
Disk #
For information. tall 651.470.2788
OwnerlOccupant Signature
7
1
L
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
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
i 4 // Length of Service:
4" to 6 "Transition: � . �. .- f ,i� ` .� • , '
White Copy: Property Owner
Record Number
f • o am
Time f . 0 pm
tC,,/
Phones <'"
inspector Signature
Obstruction
Unable to push past
feet
Number of stacks Entered S 1_ at 7
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O inspection
refused
Notes` F,
Yellow Copy: City of Eagan Pink Copy: SEH