816 Ivy Lane - Inspection Form
Sewer Service
Residential Sanitary 401.
I Eapo Compliance Inspection
Date 1 1~ Time -3o am m Record Number
• a
~jo70 am
f i_ F i.w.-~ in
Name s~ k , Disk # Time _ pm
PID Number
House Number ? _L/,,'Street Name _ i
Phone
Alternative Mailing Address - -
AOwnerl0ccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water connections to Unable to push past O No one in
sanitary sewer feet O Access to service
~Q No roof drain connection O Service lateral defects
lateral needed
O Sump pit not connected to O Defective manholes
O Inspection
sanitary sewer O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
i No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks- Entered S L.at.
Roots
PoorPipe Joints -
Mineral Deposits
Sag/Pipe Deflection Y - f f
Damaged Pipe - 7-- _ -
Transition -
4" to 6"Transition: Length of Service: Final Cleanout:
Notes
Total Correctly Incorrectly Unknown , j
' of ] i f
Sump pumps 3 ` S
Foundation drains i
Roof drains
Yellow Copy: City of Eagan Pink Copy: SFH
White Copy: Property Chvner "