2133 Marble Lane - Inspection FormResidential Sanitary Sewer Service
Compliance inspection
Date 0,7 / C-) T /
Name Disk #
ND Number —--��—
House Number
o am
Time • � , [S p
Street Name
Alternative Mailing Add ress --- - - � ��
Owner /Occupant Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Compliance
C'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
No
O Clear
sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
umber of stacks
Entered S L at J'r
Service Lateral inspection Findings
RRoots L
Poor Pipe Joints_ -- ---�
Mineral Deposits
Sag /Pipe Deflection_ _
Damaged Pipe—
Transition
( ( <5- Length of Service:
4" to 6" Transition: //0,1/ � -�--
For information call 651.470.2
Rance Obstruction
Non-Compliance
Unable to push past
tear water connections to feet
Number, Discharged
~ -- - - ., yellow Copy: City of Eagan
White Copy: Property Owner
Record Number � —
(( e am
�� / ! _)J , ;m
l ` Time s ---
Phone °-)
inspector Signature
Notes
Pink Copy: SEH