2066 Marble Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of Fa ati
Residential Sanitary Sewer Service
Compliance Inspection
Date I( ) 1 / B
Name
PlD Number
2
House Number " G 1 > l Street Name
G _
/
Alternative Mailing Address Phoned"
For information call 651.470.2788
Compliance
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No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks
Roots / t _ � —'
Transition
s ?
4" to 6 "Transition:
White Copy: Proper ty Owner
#
! ? am
Time t • ; per
Owner /Occupant Signature
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
/
�
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe o ! /
Length of Service:;= ;2�';l7 d.
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Obstruction
Unable to push past
feet
Entered S.L at")
Notes
• ' O am
• — 7 pm
Inspector Signature
Final Cleanout:
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Yellow Copy: City of Eagan Pink Copy: SEH