836 Ivy Lane - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date / 1
.
Name
9 am
Time • pm
Disk #
PID Number
House Number
.---
)
.,75' Street Name
Alter Mailing Address Phone
/
1 71-1,
.-- Signature.
For information call 651.470.2788
Compliance
0 No foundation drain connection
0 No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
0 No sump pump
Service Lateral inspection Findings
4" to 6" Tr ansition:
White Copy: Property Owner
Non
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Number of stacks
Length of Ser-vice:
Yellow Copy: City of Eagan
Record Number
Time
)
o am
•
• 0 pm
Inspector Signature
Obstruction
Unable to push past
feet.
Final Cleanout:
No Access
0 No one in
Access to service
lateral needed
0 Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
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Total
Sump pumps
Foundation drains
Roof drains
/
Residential Sanitary Sewer Service
Compliance Inspection
Date / 1
.
Name
9 am
Time • pm
Disk #
PID Number
House Number
.---
)
.,75' Street Name
Alter Mailing Address Phone
/
1 71-1,
.-- Signature.
For information call 651.470.2788
Compliance
0 No foundation drain connection
0 No roof drain connection
0 Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
0 No sump pump
Service Lateral inspection Findings
4" to 6" Tr ansition:
White Copy: Property Owner
Non
0 Clear water connections to
sanitary sewer
0 Service lateral defects
0 Defective manholes
0 Sump pump connected to sanitary
sewer
0 Flexible sump pump piping
Number of stacks
Length of Ser-vice:
Yellow Copy: City of Eagan
Record Number
Time
)
o am
•
• 0 pm
Inspector Signature
Obstruction
Unable to push past
feet.
Final Cleanout:
No Access
0 No one in
Access to service
lateral needed
0 Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH