2057 Marble Lane - Inspection Form0
Residential Sanitary Sewer Service
Compliance Inspection
Date / 1 ( L�
Name
PID Number
House Number 0c) 7
;Omer /Occupant Signature
Cornpliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints )3
f �
Mineral Deposits
SaglPipe Deflection i — -2/
Damaged Pipe.
Transition
4" to 6" Transition: 7
White Copy: Property Owner
Time
Disk#
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
' C.
o am
o pm
Street Name
Record Number c2 P i) � `7
Time
O am
o pm
Alte ate Mailing Address Phone
��
For Information call 651.470.2788
Number of stacks
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Length of Service: —7 r-
Inspector Signature
Entered S L at
No Access
O No one in
o Access to service lateral
needed
o Inspection refused
Final Cleanout: ;
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
Total
Notes
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
Foundation Drains
Roof Drains
j P
0
Residential Sanitary Sewer Service
Compliance Inspection
Date / 1 ( L�
Name
PID Number
House Number 0c) 7
;Omer /Occupant Signature
Cornpliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump Pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints )3
f �
Mineral Deposits
SaglPipe Deflection i — -2/
Damaged Pipe.
Transition
4" to 6" Transition: 7
White Copy: Property Owner
Time
Disk#
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
' C.
o am
o pm
Street Name
Record Number c2 P i) � `7
Time
O am
o pm
Alte ate Mailing Address Phone
��
For Information call 651.470.2788
Number of stacks
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Length of Service: —7 r-
Inspector Signature
Entered S L at
No Access
O No one in
o Access to service lateral
needed
o Inspection refused
Final Cleanout: ;
Pink Copy: Benjamin Franklin Plumbing
651- 222 -1551
'Ap
City of laao
Residential Sanitary Sewer Service
•
Compliance inspection
Date � /
'7? ]t .
Name /'
4" to 6" Transition:
e / , Disk#
•C.%'3 el am
Time pm
PID Number
House Number � 1 Street Name
Alternative Mailing Address
/
jj (
11 1 / : " mo t �
Owner /Occupant Signature
For information call 65
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected;to
sanitary sewer
O Sump pump properly piped
O No sump pump
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..L..at
Roots
a,✓
Poor Pipe Joints - ,'`!= '.� � - /f
Mineral Deposits 1A ./'2 /1fl ? ' '"; , ; �../ ✓ .i✓ �� a { :- --",=
Sag /Pipe Deflection Vii/ °"/') .<4.-, - „ -- ;,.- ..x,'L— — - -'t- -- 7 ' `
Damaged Pipe ). £ ,'"`�- � -� r7 ,'� Jam:'' .- ;�3.4i1 r ./>:- ,---- /°'�'1
Transition s' ' "` � ' �, A " a � " � 'i ' '/
F ,
Length of Service:
White Copy: Propel ty Owner
Record Number
Phone � 47 7 i g
Obstruction
Unable to push past
feet
Notes
O am
•
Time • O pm
Inspector Signature
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
r efused
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Total
Sump pumps
Foundation drains
Roof drains
'Ap
City of laao
Residential Sanitary Sewer Service
•
Compliance inspection
Date � /
'7? ]t .
Name /'
4" to 6" Transition:
e / , Disk#
•C.%'3 el am
Time pm
PID Number
House Number � 1 Street Name
Alternative Mailing Address
/
jj (
11 1 / : " mo t �
Owner /Occupant Signature
For information call 65
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected;to
sanitary sewer
O Sump pump properly piped
O No sump pump
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..L..at
Roots
a,✓
Poor Pipe Joints - ,'`!= '.� � - /f
Mineral Deposits 1A ./'2 /1fl ? ' '"; , ; �../ ✓ .i✓ �� a { :- --",=
Sag /Pipe Deflection Vii/ °"/') .<4.-, - „ -- ;,.- ..x,'L— — - -'t- -- 7 ' `
Damaged Pipe ). £ ,'"`�- � -� r7 ,'� Jam:'' .- ;�3.4i1 r ./>:- ,---- /°'�'1
Transition s' ' "` � ' �, A " a � " � 'i ' '/
F ,
Length of Service:
White Copy: Propel ty Owner
Record Number
Phone � 47 7 i g
Obstruction
Unable to push past
feet
Notes
O am
•
Time • O pm
Inspector Signature
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O Inspection
r efused
Yellow Copy: City of Eagan Pink Copy: SEH