846 Ivy Lane - Inspection Formof haPH
Resideritial Sanitary. Sewer Service
Compliance Inspection
Date i9;1 / /7(.)i ///,//'
HD Number
Alternative Mailing Address
4" to 6" Transition:
White Copy: Proper ty Owner
Time
Name fi T7 Disk #
OwnerlbccuparOgnature
Compliance
0 No foundation drain connection
No roof drain connection
ump pit not connected to
sanitary sewer
0 Sump pump properly piped
irlo sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits 1 O
Non-Compliance
Sag/Pipe Deflection
Damaged Pipe
Transition 2 - /1 f() ki ilk _77
11011=,11
z
House Number Street Name
1
Length of Ser vice:
-[
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
0„,`Vdire0
Record Number
1p
c • 0 am
Time —1 Adpm
7
,hone —
I J\
1 1 4,
Notes
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
ntered Stat
rk,
_
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout: ( 7.. „ vi & u,
/3 7
1,1 0-444.!-7- 1 4 ,--- - -- 7 . 2 4iD
Li/ v 2 W,"1,el'e - 0
1 ./
Pink Copy: SEH
f ,1 r,
Yellow Copy: City of Eagan( _3 • 6A- ,-;:,,-_, _.... /tic/
..,'-
) -.-
Total
•::-:
Correctly
Discharged.
[neon ectly
Unknown
Sump pumps
Foundation drains
Roof drains
#
,..,.,,-------
of haPH
Resideritial Sanitary. Sewer Service
Compliance Inspection
Date i9;1 / /7(.)i ///,//'
HD Number
Alternative Mailing Address
4" to 6" Transition:
White Copy: Proper ty Owner
Time
Name fi T7 Disk #
OwnerlbccuparOgnature
Compliance
0 No foundation drain connection
No roof drain connection
ump pit not connected to
sanitary sewer
0 Sump pump properly piped
irlo sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits 1 O
Non-Compliance
Sag/Pipe Deflection
Damaged Pipe
Transition 2 - /1 f() ki ilk _77
11011=,11
z
House Number Street Name
1
Length of Ser vice:
-[
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
0„,`Vdire0
Record Number
1p
c • 0 am
Time —1 Adpm
7
,hone —
I J\
1 1 4,
Notes
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
ntered Stat
rk,
_
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout: ( 7.. „ vi & u,
/3 7
1,1 0-444.!-7- 1 4 ,--- - -- 7 . 2 4iD
Li/ v 2 W,"1,el'e - 0
1 ./
Pink Copy: SEH
f ,1 r,
Yellow Copy: City of Eagan( _3 • 6A- ,-;:,,-_, _.... /tic/
..,'-
) -.-