2101 Marble Lane - Inspection FormCity of . ,a i
Residential Sanitary Sewer Service
Compliance Inspection
Date i$'
Name irk Disk#
House Number. 'eh)
Alternative Mailing Address
Compliance
erNo foundation drain connection
No roof drain connection
.F
f Sump pit not connected to
sanitary sewer
�5 Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots els
I t
Poor Pipe Joints
4" to 6" Transition: //
White Copy: Pioper Owner
Time 1/ •- O pm
PID Number
(
LLi-L1g]
Street Name />
OwnerlQccupant Signature
For information call 651
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
f am
Time A ® o pm
Phone :g37) 7`e .-
d
1...
- inspector Signature
Obstruction
Unable to push past
feet
Non - Compliance
O Clear• water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Entered S.L at J �.
5 7-
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
No Access
O No one in
Final Cleanout:
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH
Notes
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
1
Foundation drains
Roof drains
City of . ,a i
Residential Sanitary Sewer Service
Compliance Inspection
Date i$'
Name irk Disk#
House Number. 'eh)
Alternative Mailing Address
Compliance
erNo foundation drain connection
No roof drain connection
.F
f Sump pit not connected to
sanitary sewer
�5 Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
Roots els
I t
Poor Pipe Joints
4" to 6" Transition: //
White Copy: Pioper Owner
Time 1/ •- O pm
PID Number
(
LLi-L1g]
Street Name />
OwnerlQccupant Signature
For information call 651
Length of Ser vice:
Yellow Copy: City of Eagan
Record Number
f am
Time A ® o pm
Phone :g37) 7`e .-
d
1...
- inspector Signature
Obstruction
Unable to push past
feet
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 J �.
5 7-
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
No Access
O No one in
Final Cleanout:
O Access to service .
lateral needed
O Inspection
refused
Pink Copy: SEH