2070 Marble Lane - Inspection FormSump pumps
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.
Foundation drains
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---• -• -.-
- - --
Roof drains
City of taiau
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 / 7 / c.76
1 /c?
Name -- '-"L" P' ' Disk #
PID Number
House Number' Street Name
Alternative Mailing Address
• ,y arn
T ime . r. . o pm
Owner /Occupant Signature (.
kJ 1-LLLi
Record Number
Phorf`
f /
l ; "e cam;
Inspector Signature
For nfort call 651.470.2788
Compliance
q No foundation drain connection 0 Clear water connections to
No roof drain connection sanitary sewer
0 Service lateral defects
O Sump pit not connected to O Defective manholes
sanitary sewer
O Sump pump connected to sanitary
O Sump pump properly piped sewer
9/No sump pump 0 Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks _
Roots /21-- f /1:=7*— i ' t .
White Copy: Propel ty Owner
Total
Non - Compliance
Number. Discharged
Correctly
Incorr ectly
Unknown
Obstruction
Unab e...to push past
feet
- -; j
/ Entered S L at ,11 17/'- (mod •
Poor PipeJoints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition: iilf 4 . 4V3 <i Length of Service: .(J /t,r a)#,,:' Fin Cle ngut
4
Notes s ;i_
w
7} b3 am
' J 0 pm
Time ! •
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
T
Yellow Copy: City of Eagan - -«:i llti f,' / Pink Copy: SEH
r �,_ ILL
1iay off'
Residelrntial Sanitary Sewer Service
Compliance Inspection
Date (27/........). / l C7
Name ....Jt; // Z"V ) Disk #
r
PID Number
House Number.!
Alternative Mailing Address
f
Compliance
Q $ Ew attibrr
OyxElo roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 No sump pump
Poor Pipe joints
Mineral Deposits
Owner /Occupant Sr nature
Sag /Pipe Deflection
Dam eckPipe
ra'n; ition
4" to 6" Transition:
\ -White Copy: Property Owner
2 J/
S
Time e o pm
Street Name
L/V
r ne (T 4 - r %.
fI
1
No,n •Corn llianCe -.
R �.__,.- ,per /CC
) Clear. water connections to
.,,,_,.sa[Utary.Aewer_ 1 Z
O Ser vice lateral del cts ,...,
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Ins ection Findings Numbe kof stacl s
Roots r ' - € z7 f
> 1
7 .�lL'ength of Service:
Yellow Copy: of Eagan
Record Number
7• Cl a m
Time '-- I 0 O pm
✓
1 ris ector Signature
For information call 65.1.470.2788 ?.
Obstruction
! Unable to push past
feet
Entered S F_. at r) / '
/ AJ X 11''1 " s_
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1 ���✓t� ` f AO'
._
/ y-La
Final Cleanout
De rr %,.fry //7../y2
c4 1 .
F
-I/ 06 0 s/"_
47- -•-> fj p \ ink Copy: SEH
4/P1
J
Total
Number
Correctly
incorrectly
Unknown
Sump pumps
-,,
__
-
-._... _ - -.
- ,---- ..
----- _.
\
.
Foundation drains
..*
--,...
Roof drains
/ �
__ __
-
/
1iay off'
Residelrntial Sanitary Sewer Service
Compliance Inspection
Date (27/........). / l C7
Name ....Jt; // Z"V ) Disk #
r
PID Number
House Number.!
Alternative Mailing Address
f
Compliance
Q $ Ew attibrr
OyxElo roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
0 No sump pump
Poor Pipe joints
Mineral Deposits
Owner /Occupant Sr nature
Sag /Pipe Deflection
Dam eckPipe
ra'n; ition
4" to 6" Transition:
\ -White Copy: Property Owner
2 J/
S
Time e o pm
Street Name
L/V
r ne (T 4 - r %.
fI
1
No,n •Corn llianCe -.
R �.__,.- ,per /CC
) Clear. water connections to
.,,,_,.sa[Utary.Aewer_ 1 Z
O Ser vice lateral del cts ,...,
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Ins ection Findings Numbe kof stacl s
Roots r ' - € z7 f
> 1
7 .�lL'ength of Service:
Yellow Copy: of Eagan
Record Number
7• Cl a m
Time '-- I 0 O pm
✓
1 ris ector Signature
For information call 65.1.470.2788 ?.
Obstruction
! Unable to push past
feet
Entered S F_. at r) / '
/ AJ X 11''1 " s_
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1 ���✓t� ` f AO'
._
/ y-La
Final Cleanout
De rr %,.fry //7../y2
c4 1 .
F
-I/ 06 0 s/"_
47- -•-> fj p \ ink Copy: SEH
4/P1
J