2065 Marble Lane - Inspection FormCity ni liago
Residential Sanitary Sewer Service
Compliance Inspection
Date / 1 1 /v Time , • ( ?O - pm
Name 1:47 'r. i/ c)( r Disk #
PID Number
House Number J Street Name / ='✓
Alternative MailingAddress
For information: call 651.470.2188
Compliance
O No foundation drain connection
c ) No roof drain connection
O Sump pit not connected to
sanitar y sewer
O Sump pump properly piped
No surnp pump
Owner /Occupant Signature
0
t1.-M
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 Number of stacks ( Entered S . at .. I 7',4C -i__ (
Roots • ^.
f ' /
Poor Pipe Joints
Mineral Deposits - V 73
Sag /Pipe Deflection
White Copy: Property Owner
Damaged Pipe
Transition
4" to 6 "Transition:) OJ /C � 2/ Length of Service:
Record Number
Phone / r2) L/C-7
.15
® Oao
Time LT ® c: rn
Jnspe Sign
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
C i. {./ L2./. t -. -yam 7o- -r
J l 4- 116 (( i.� . (
r ✓C' d" .FLIP
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Nurrrber.
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
d -
° --_e
_ . _
Foundation drains
Roof drains
f
City ni liago
Residential Sanitary Sewer Service
Compliance Inspection
Date / 1 1 /v Time , • ( ?O - pm
Name 1:47 'r. i/ c)( r Disk #
PID Number
House Number J Street Name / ='✓
Alternative MailingAddress
For information: call 651.470.2188
Compliance
O No foundation drain connection
c ) No roof drain connection
O Sump pit not connected to
sanitar y sewer
O Sump pump properly piped
No surnp pump
Owner /Occupant Signature
0
t1.-M
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 Number of stacks ( Entered S . at .. I 7',4C -i__ (
Roots • ^.
f ' /
Poor Pipe Joints
Mineral Deposits - V 73
Sag /Pipe Deflection
White Copy: Property Owner
Damaged Pipe
Transition
4" to 6 "Transition:) OJ /C � 2/ Length of Service:
Record Number
Phone / r2) L/C-7
.15
® Oao
Time LT ® c: rn
Jnspe Sign
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
C i. {./ L2./. t -. -yam 7o- -r
J l 4- 116 (( i.� . (
r ✓C' d" .FLIP
Yellow Copy: City of Eagan Pink Copy: SEH