820 Ivy Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of Ea pa
Residential Sanitary Sewer Service
Compliance Inspection
Date /5 J/2 r7.6341fram
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/ F i Time 3� k pm
Name �� .� / ))
PID Number
House Number � i ! Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.47
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor ipej
Miner,Aieposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Total
Disk ##
Non - Compliance
0
0
0
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Cor rectly
Incorrectly
v
Unknown
White Copy: Property Owner
Yellow Copy: City of Eagan
Record Number '
Phone E, � ) 77. ? ��
Obstruction
Unable to push past
feet
f
Number of stacks _ Entered S.L.at A
� Cleanout
Notes
T 1
Inspector Signature
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
I
Pink Copy SEH