829 Ivy Lane - Inspection FormCity of Eapn
Residential Sanitary Sewer Service
Compliance Inspection
Date
) sA
Name (_.../ „
PID Number
House Number
Alter native Mailing Address
Time
OwnerlOccupant Signature
For information cart 651.470.2188
Compliance
O No foundation drain connection
No roof drain connection
, A
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Disk #
4 02) m
/ • a pm
Street Name
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
4" to 6" Transition:
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
Number of stacks
Length of Service:
1
Record Number
• Se am
Pm
-7, 2 Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at
/
//
Cleanout:
Notes
1
r°1-- —
/ )
L /
_
sy /
„
Yellow Co py: City of Eagan / /":".2.--
Pink Copy: SEH
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
r
e
Number Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
A
Z
/
/
- 1 - 1:,?f..4
-i--- -,
/
,--?
1 )-•
1
,..„.....-
i)1
i ----
-
(
-.
,..
Foundation drains
......
Roof drains
City of Eapn
Residential Sanitary Sewer Service
Compliance Inspection
Date
) sA
Name (_.../ „
PID Number
House Number
Alter native Mailing Address
Time
OwnerlOccupant Signature
For information cart 651.470.2188
Compliance
O No foundation drain connection
No roof drain connection
, A
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Disk #
4 02) m
/ • a pm
Street Name
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
4" to 6" Transition:
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
Number of stacks
Length of Service:
1
Record Number
• Se am
Pm
-7, 2 Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at
/
//
Cleanout:
Notes
1
r°1-- —
/ )
L /
_
sy /
„
Yellow Co py: City of Eagan / /":".2.--
Pink Copy: SEH
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
r
e