821 Ivy Lane - Inspection Form40
City of Flap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
Alternative Mailing Address
Time
▪ Disk #
Street Name
Owner /Occupant Signature
Compliance
OO No foundation drain connection
Q No roof drain connection
l
C;r Sump pit not connected to
!! " sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
.-
For information call 651.470.2788
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
4-
Damaged Pipe
Transition -- °°�' f
4" to 6" Transition:
White Gopy: Property Owner
Record Number
-Time
Mf j
f a
Phone %2
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 1 Entered S.L.at
Obstruction
Unable to push past
feet
�,r f
��-
LT/1
-, lr
Length of Service: L,Oln / /- .v
Yellow Gopy: City of Eagan
a •
q am
pm
Notes
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
"7
/19 / 7 64/1:7,
il
Pink Copy: SEE
Number Discharged
otal
Correctly
Incorrectly Unknown
Sump pumps
-
1173
- ,
- ' ! °
Foundation drains
A
{
Roof drains
40
City of Flap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
Alternative Mailing Address
Time
▪ Disk #
Street Name
Owner /Occupant Signature
Compliance
OO No foundation drain connection
Q No roof drain connection
l
C;r Sump pit not connected to
!! " sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
.-
For information call 651.470.2788
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
4-
Damaged Pipe
Transition -- °°�' f
4" to 6" Transition:
White Gopy: Property Owner
Record Number
-Time
Mf j
f a
Phone %2
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 1 Entered S.L.at
Obstruction
Unable to push past
feet
�,r f
��-
LT/1
-, lr
Length of Service: L,Oln / /- .v
Yellow Gopy: City of Eagan
a •
q am
pm
Notes
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
"7
/19 / 7 64/1:7,
il
Pink Copy: SEE