2069 Marble Lane - Inspection FormResidential Sanitary Sewer Service
City of EaR,art Compliance Inspection
Date,
/ i I.s'
Name �°''%� , -- Disc# - ""_��
PID Number
r') ,
House Number i -Y % Street Name
Alternative MailingAddress
1
!� r -
r4 i ,f
0 nw er /Occup'a'nt jgnnature
For information call 65 1.470.2788
of pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Time ✓" , • p pm
Sag /Pipe Deflection
Damaged Pipe
�; 1
Transition . ii / / ) /.! ' 1 _ - 7'7 ;
4" to 6 "Transition: c_.,.).a
Length of Service:
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
Number of stacks
t /;✓
7
r.
White Copy: Pr opel ty Owner
Yellow Copy: City of Eagan
Record Number
Notes
e✓° am
Time • —. . .O pm
!
Phone
inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
i
Entered S.L.at/ . �a
/ j ..
r)
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
`,
)
Foundation drains
f
Roof drains
l
Residential Sanitary Sewer Service
City of EaR,art Compliance Inspection
Date,
/ i I.s'
Name �°''%� , -- Disc# - ""_��
PID Number
r') ,
House Number i -Y % Street Name
Alternative MailingAddress
1
!� r -
r4 i ,f
0 nw er /Occup'a'nt jgnnature
For information call 65 1.470.2788
of pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Time ✓" , • p pm
Sag /Pipe Deflection
Damaged Pipe
�; 1
Transition . ii / / ) /.! ' 1 _ - 7'7 ;
4" to 6 "Transition: c_.,.).a
Length of Service:
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
Number of stacks
t /;✓
7
r.
White Copy: Pr opel ty Owner
Yellow Copy: City of Eagan
Record Number
Notes
e✓° am
Time • —. . .O pm
!
Phone
inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
O Access to service
lateral needed
O Inspection
refused
i
Entered S.L.at/ . �a
/ j ..
r)
Final Cleanout:
Pink Copy: SEH