2077 Marble Lane - Inspection FormNo sump pump
4" to 6" Transition:
City of lia u
Residential Sanitary Sewer Service
Compliance Inspection
DateI IC .i Time ° •
Name /\,/ /.� isk #
PID Number
House Number.
Alternative Mailing Ad } dress
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
_QwrtertFTecpant Signature
Compliance
No foundation drain connection
No roof drain connection
White Copy: Property Owner
Street Name
am
pm
Length of Service:
Phone
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O.. Defective manholes
O Sump pump connected tosanitary
sewer
O Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Time
Service Lateral Inspection Finding Number of stacks 1 /ntered S.L at
Roots - ` �, ''?/-2)
Inspector Signature
Obstruction
Unable to push past
feet
�z p,
s / Y nf
��Final Cleanout:
prn
For information call 651.47
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
fJ
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Notes
1/ „, f � j - . r G
r f
Total
Unknown
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C ..
I 2'. ;7,-0', 1/2./_(::___._,,r .
1.
Sump pumps
Foundation drains
'-
s,........-
Roof drains
�` I
No sump pump
4" to 6" Transition:
City of lia u
Residential Sanitary Sewer Service
Compliance Inspection
DateI IC .i Time ° •
Name /\,/ /.� isk #
PID Number
House Number.
Alternative Mailing Ad } dress
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
_QwrtertFTecpant Signature
Compliance
No foundation drain connection
No roof drain connection
White Copy: Property Owner
Street Name
am
pm
Length of Service:
Phone
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O.. Defective manholes
O Sump pump connected tosanitary
sewer
O Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Time
Service Lateral Inspection Finding Number of stacks 1 /ntered S.L at
Roots - ` �, ''?/-2)
Inspector Signature
Obstruction
Unable to push past
feet
�z p,
s / Y nf
��Final Cleanout:
prn
For information call 651.47
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
fJ
Pink Copy: SEH