2141 Marble Lane - Inspection Form-f
City o1 apa
Residential Sanitary Sewer Service
Compliance Inspection
Date-') / /
a) am
Time r Pm
_ 1
Name ,
Record Number
PID Number
)
House Number ) .2 , Street Name _ 1
1/1
Alternative Mailing Address
tiI
•
Time
;tam,
Owner/Occupant Signature
Phone % _ T7
inspector Signature
For information call 651.470 2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
rij
Service Lateral Inspection Findings
Roots -� ,
i
Number of stacks Entered S L. at
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
3
Transition %73>>;
fl: -'3"-///7t1
5"
(7
3 ti
4" to 6"Transition:
Length of Service:
Final Cleanout: / J
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps
(
Foundation drains
//
9
Roof drains
(19
Notes
White Copy: Property Owner
Yellow Copy: City of Eagan
!-7r
Pink Copy: SEH
41111''
City afFain
a
Residential Sanitary Sewer Service
Compliance Inspection
Date 47/ ;*"
Name Jr-) A4/1-"" Z -Ai
PID Number
• .Q am
Time /2 • • O pm
Disk #
House Numberi`' 1f Street Name
Alternative Mailing Address
HH
Record
Number
OwnerlOccupant Signature
Time
• O am
• O pm
Phone 6r%17f7 %s
Ii
_-- / /
Inspector Signature
For information call 651.470.2788
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
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots
Number of stack Entered S,L.at
(No o /CA
Poor Pipe Joints
Mineral Deposits
'Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Final Cleanout:
Notes /1/0
White Copy: Property Owner
Yellow Copy: City of Eagan Pink Copy: SEH
ave
Number
Correctly
Discharged
incorrectly
... Unknown
Total
Sump pumps
Foundation drains
Roof drains
Notes /1/0
White Copy: Property Owner
Yellow Copy: City of Eagan Pink Copy: SEH
ave