2137 Marble Lane - Inspection FormCity or 1 aptu
Residential ;Sanitary Sewer Service
Compliance Inspection
Date
1 t) 1 Time t • r 6 - pm
Name // /'""> - ✓� ea� Disk#
PID Number
House Number
Alternativ
Mailing Addr -ss
For information call 651,470:2788
Compliance
9 No foundation drain connection
A.
No roof drain connection
O Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
No sump pump
Service.Lateral Inspection Findings Number of stacks_ / Entered S L. at - W1 /.'cd
Roots "" � C � r f` f ' -• ,.y .
a
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe.
4" to 6 "Transition:
i Owner /Occupant Signature
t
v
White Copy: Property Owner
Street Name
W-11.2'— .•s
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
0
f
• Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Notes
Phone
/ d a ` 0am
Time � • /1 �lp " pm
( '1/) c
/ Inspector Signature
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
Total
Sump pumps
:
_..._. ....._._._._.
..__ ___-
Foundation drains
Roof drains
City or 1 aptu
Residential ;Sanitary Sewer Service
Compliance Inspection
Date
1 t) 1 Time t • r 6 - pm
Name // /'""> - ✓� ea� Disk#
PID Number
House Number
Alternativ
Mailing Addr -ss
For information call 651,470:2788
Compliance
9 No foundation drain connection
A.
No roof drain connection
O Sump pit not connected to
sanitary sewer.
O Sump pump properly piped
No sump pump
Service.Lateral Inspection Findings Number of stacks_ / Entered S L. at - W1 /.'cd
Roots "" � C � r f` f ' -• ,.y .
a
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe.
4" to 6 "Transition:
i Owner /Occupant Signature
t
v
White Copy: Property Owner
Street Name
W-11.2'— .•s
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
0
f
• Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Notes
Phone
/ d a ` 0am
Time � • /1 �lp " pm
( '1/) c
/ Inspector Signature
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/
` Pink Copy: SEH