2105 Marble Lane - Inspection FormSump pumps
Foundation drains
Roof drains
Ci ty off` E a a
Residential Sanitary Sewer Service
Compliance Inspection
1/}i
Date ! ,C
Name , 7) fl .' � Disk #
PID Number
ot pliance
No foundation drain connection
CC}� No roof drain connection
It
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
r
/ lr' oP am
Time • ,6 pm
.r.
Non- Compliance
House Number 2 C . Street Name _ /
Number Discharged
Total Correctly !nconectly Unknown
Record Number f
Notes
Time
Alternative Mailing Address .. Phone l% t f '_
Obstruction
Inspector Signature
For information call 651
O Clear. water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service: , ` ` � 1 ....
O am
•
• O pm
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks ,/ Entered S.L at 7 `7 , 7 C _'i
Roots
Poor Pipejoints
Mineral Deposits
9 . .
SaglPipe Deflection _ m 7 . -
Damaged Pipe �F�
Transition � " (r)1,( " ) / ,/ ,' r�?i' C" -72 __.fir .,� , '
Final Cleanout: 1:
Yellow Copy: City of Eagan Pink Copy: SEH