2125 Marble Lane - Inspection FormSump pumps
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Foundation drains
- 7' .
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Roof drains
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City Calm
Residential Sanitary Sewer Service
Compliance inspection
Date f 1 /9' / / Time / Pm
Name e" Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
a No sump pump
1 OwnerlOccupant Signature
Street Name '
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
Roots r 7 l Li 2 . e: �
Poor Pipe joints ! .
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition t f `fit ',, f ?
4" to 6" Transition:
Length of Service:
Number Discharged
Total Correctly Incorrectly Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
P
Time
one _ G�.`e O i )
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
1
c • oam
0 � , Pin
Entered S . at
Notes
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Pink Copy: SEH