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812 Ivy Lane - Inspection Form Residential Sanitary Sewer Service City ! ilr Compliance Inspection Time • o Pm Record Number J - Date_, am dame j21.1'11 °Disk # /Z f Time _ • o pm _ PID Number, House Number =ri Street Name F I/' s~ a Alternative Mailing Address Phone OwnerlOccupant Signature f Inspector Signature For information call 651.470.2788 Compliance Non-Compliance Obstruction No Access No foundation drain connection O Clear water conrections to Unable to push past O No one in No roof drain connection sanitary sewer feet. O Access to service O Service lateral defects O Sump pit not connected to lateral needed O Defective manholes sanitary sewer O Inspection O Sump pump connected to sanitary refused O Sump pump properly piped sewer X No sump pump O Flexible sump pump piping Service Lateral Inspection Findings Number, of stacks - Entered S. L. at Roots PoorPipejoints Mineral Deposits SaglPipe Deflection Damaged Pipe - r Transitions 4" to 6" Transition: Length of Service:. Final Cleanout: Notes r Discharged Nu mbe Total Correctly Incorrectly Unknown j f Sump pumps F Foundation drains Roof drains r White Copy: Property Chvner Yellow Copy: City of Eagan Pink Copy- SEH