848 Ivy Lane - Inspection Form
Residential Sanitary Sewer Service
City of Eapo Compliance Inspection
•
Date`~)1 Time • 'pm Record Number J
Name Disk# ' IT Time • o am
PID Number
House Number Street Name
Alternative Mailing Address ?hone
Owner) t'.4ant 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
No roof drain connection sanitary sewer feet. O Access to service
O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S. L. at_=',~-.:Jr r3
Roots
Poor Pipe Joints -
Mineral Deposits
SaglPipe Deflection
Damaged Pipe -
Transition
~ iii ✓~i,
4" to 6"Transition: Length of Service: Final Cleanout:
Notes
Number Discharged
Total Correctly Incorrectly Unknown r.~ ✓ i`~ ~~1,;;,
_7 7-74
z~
Sump pumps e_ s~ .
Foundation drains f
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH