802 Ivy Lane - Inspection FormCity ill' .Ea n
Residential Sanitary Sewer "Service
Compliance Inspection
Date 0% l 2-3 1.1
Name J , 1 M P Disk#
PID Number
House Number
Alternative MailingAddress
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
C No sump pump
Service Lateral Inspection Findings
Roots
4" to 6" Transition: a i6? ()IS r"
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
r Street Name
Owner /Occupont Signature
0
Time • ° pm
Non - Compliance
0
O
O
O
0
Poor Pipe Joints
Clear water connections to
sanitary sewer.
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service: 'N KJ
Number Discharged
Record Number
r -�] O am
Time ® 4 Ripm
Phone 1
fne ector Signature
Obstruction
Unable to push past
feet
X39 -5 o _7.
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Entered S.L. at TAT- 5T 1(k G C
of,J G R A IT.. (ow Ni H, Q f:
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
"J) e ¢r
0/ it
Final Cleanout: '` tt
Yellow Copy: City of Eagan Pink Copy: SEH
Notes
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