3420 Ivy Ct - Inspection FormCity ol taR,ari
Residential Sanitary Sewer Service
Compliance Inspection
Date 7_/
Name
•
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
4" to 6"Transition:
) ?a
2 • cf3d
Time •
Alternative Mailing Address
Disk #
PID Number
House Number ,IStreet Name
Owner/Occup`ant Signatore
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Damaged Pipe
Transition
White Copy: Pioperty Owner
)
Non-Compliance
0
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number
73
0 am
1 Time Pm
Obstruction
Unable to push past
feet
Phone 7))7
For information call 651.470.2788
Entered S L at
Length of Service: ) 5 , 5
,1
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Cleanour ))
)
Pink Copy: SEH
Total
N otps_
( (1,---a.-2:47
I
,
-)."-- )
''-,)
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
0
Foundation drains
X/
Roof drains
1 1.
City ol taR,ari
Residential Sanitary Sewer Service
Compliance Inspection
Date 7_/
Name
•
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
4" to 6"Transition:
) ?a
2 • cf3d
Time •
Alternative Mailing Address
Disk #
PID Number
House Number ,IStreet Name
Owner/Occup`ant Signatore
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Damaged Pipe
Transition
White Copy: Pioperty Owner
)
Non-Compliance
0
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Yellow Copy: City of Eagan
Record Number
73
0 am
1 Time Pm
Obstruction
Unable to push past
feet
Phone 7))7
For information call 651.470.2788
Entered S L at
Length of Service: ) 5 , 5
,1
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
•
Cleanour ))
)
Pink Copy: SEH