2113 Marble Lane - Inspection Form4 .1111 1 .
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
/ ) ! �• am
Date �1r Time • pm
J
Name. 1 ? ° Disk #
PID Number
House Number �.w- -. � � Street Name
Alternative Mailing Address
7u
For information call 651.470.2788
Compliance
O No foundation drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
t
No sump pump
/.
No roof drain connection
vi0 V6 V/
OwnerlOccupant Signature
Service Lateral Inspections Find
Roots 7 )
Poor Pipe Joints
Mineral Deposits
% /Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
,n /!
;r 6/
White Copy: Property Owner
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
nos Number. of stacks L Entered S.L at
■r.
1
r
1
Length of Service:
,9
Yellow Copy: City of Eagan
Record Number
Phone , - • ,--
•
ime •
Inspector S
Obstruction No Access
Unable to push past 0 No one in
feet
-L O,am
Pm
O Access to service
lateral needed
O Inspection
refused
f
Final Cleanout: !� j
Pink Copy: SEH
Total
N otes
) / -, -,
y ' ? �� f '' -- = -%
/ 1 )
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
f j
I1
LiNy� '-- 1, ../vl°'�
Roof drains
di
4 .1111 1 .
City of Ea as
Residential Sanitary Sewer Service
Compliance Inspection
/ ) ! �• am
Date �1r Time • pm
J
Name. 1 ? ° Disk #
PID Number
House Number �.w- -. � � Street Name
Alternative Mailing Address
7u
For information call 651.470.2788
Compliance
O No foundation drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
t
No sump pump
/.
No roof drain connection
vi0 V6 V/
OwnerlOccupant Signature
Service Lateral Inspections Find
Roots 7 )
Poor Pipe Joints
Mineral Deposits
% /Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
,n /!
;r 6/
White Copy: Property Owner
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
nos Number. of stacks L Entered S.L at
■r.
1
r
1
Length of Service:
,9
Yellow Copy: City of Eagan
Record Number
Phone , - • ,--
•
ime •
Inspector S
Obstruction No Access
Unable to push past 0 No one in
feet
-L O,am
Pm
O Access to service
lateral needed
O Inspection
refused
f
Final Cleanout: !� j
Pink Copy: SEH