862 Ivy Lane - Inspection FormSump pumps
Foundation drains
Roof drains
;�'
City 11 la as
Residential Sanitary Sewer Service
Compliance Inspection
Date�1I_._)
Name Disk #
PID Number
House Number Street Name i
Phone
Alternative Mailing Address
�
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
o Sump pump properly piped
No sump pump
Owner/Occupant Signature
Service Lateral Inspection Findings
Roots
Poor•PipeJoints
Mineral Deposits 1)
t 1
Pipe Deflection / K r
Damaged Pipe
Transition i -�-
4" to 6" Transition:
Total
• � am
Time y p
L)_
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Correctly
Number of stacks '� Entered S. L.at
Incorrectly
Length of Service:
Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet.
� O am
/t
y7 Pm
Inspector *nature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Fi nal CIeanout: l l
Notes
1
Pink Copy: SEH