856 Ivy Lane - Inspection FormC 4 4111 1
of h p
Residential Sanitary Sewer Service
Compliance Inspection
Dated 1 / 1 r ' /
.L f
Name
..� -,. 1 Disk#
P!D Number
4" to 6" Transition:
Alternative Mailing Address
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
Service Lateral Inspection Findings
White Copy: Property Owner
Time - •
'OwnerlOccupont Signature`
• o a m
pm
Non - Compliance
Number of stacks
Length of Service:
Yellow Copy: City- of Eagan
House Number Street Name ? i
Record Number
Phone
� s l j am
} Time l,7 j . - O pm
l,e /t ✓) .r te: j 1
inspector Signature
For information call 651.470.2788
Obstruction
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
Entered S . at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection r , = . 7(
Damaged Pipe
Transition
"-ID i Final Cleanout: o;
.
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
, `" 'f': i ' ' l ' = . z' 7 x K , ,-
", r
r
-' I
/ s
� , : _ ,
Total
Sump pumps
// 7 /
Foundation drains
Roof drains
C 4 4111 1
of h p
Residential Sanitary Sewer Service
Compliance Inspection
Dated 1 / 1 r ' /
.L f
Name
..� -,. 1 Disk#
P!D Number
4" to 6" Transition:
Alternative Mailing Address
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
Service Lateral Inspection Findings
White Copy: Property Owner
Time - •
'OwnerlOccupont Signature`
• o a m
pm
Non - Compliance
Number of stacks
Length of Service:
Yellow Copy: City- of Eagan
House Number Street Name ? i
Record Number
Phone
� s l j am
} Time l,7 j . - O pm
l,e /t ✓) .r te: j 1
inspector Signature
For information call 651.470.2788
Obstruction
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
Entered S . at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection r , = . 7(
Damaged Pipe
Transition
"-ID i Final Cleanout: o;
.
Pink Copy: SEH