2081 Marble Lane - Inspection FormCity a1� ha
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 7/ / 1
Name
•
PID Number
House Number
Alternative Mailing Address
/ ) 5 ?
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
-(? t
Street Name
Owner /Occupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Service ) / L ] at ral Inspection Findings n Numm ofsta 7)Entered S at .....<- j .- ( 9
/f / , VVV
Roots _ :.` ; r �f� J �r
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
F / ( 3,
White Copy: Property Owner
Time •
Disk #
0
1 1 / 4.
am
pm
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
1
Length of Service:
Yellow Copy: City of Eagan
Record Number
_ � • O am
Time • W pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
MEM
Foundation drains
Roof drains
Ell
City a1� ha
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date 7/ / 1
Name
•
PID Number
House Number
Alternative Mailing Address
/ ) 5 ?
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
-(? t
Street Name
Owner /Occupant Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Service ) / L ] at ral Inspection Findings n Numm ofsta 7)Entered S at .....<- j .- ( 9
/f / , VVV
Roots _ :.` ; r �f� J �r
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
F / ( 3,
White Copy: Property Owner
Time •
Disk #
0
1 1 / 4.
am
pm
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
1
Length of Service:
Yellow Copy: City of Eagan
Record Number
_ � • O am
Time • W pm
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH