833 Ivy Lane - Inspection Form4 City of eta as
Residential Sanitary Sewer Service
Compliance Inspection
/ '
Date L 1 AV/ i .',r2 Timer f •.- ? f; p Jpm
Name AM l .7- ./) #
PID Number
House Number
Alternative Mailing Address
For information calf 651.470.2788
Compliance
O No foundation drain connection
9 roof drain connection
,+''Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
'.
Entered S. L at
Roots
Service Lateral Inspection Findings
PoorPipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ..? / ` . €
4" to 6 "Transition:
G( Signature
White Copy: Property O vnet
J 1 r
1
Street Name
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
F
Number of stacks
Length of Service:
Record Number {. "
Obstruction
Unable to push past
feet
Yellow Copy: City of Eagan e
5T
(Al m
Time . {` • .. o pm
72' �y
l
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: °i/%,
P ink Copy: SEH
Correctly
Discharged
Incorrectly Unknown
Notes ,- y� +�?,' �::; y. -
' -j' / f'
'
�'t�'.,, 1, ,,; /. }r /` ;.: r ,, ._
'f ' 'r'' ]°r .
t itry . .4.." •.-,= I,,._, • ' . ,5'.". . / u .
Total
S pumps
Sump P
- ...>
Foundation drains
V
Roof drains
J
a .w,_ .,
. ,. �_. w...
®
= ": A n
4 City of eta as
Residential Sanitary Sewer Service
Compliance Inspection
/ '
Date L 1 AV/ i .',r2 Timer f •.- ? f; p Jpm
Name AM l .7- ./) #
PID Number
House Number
Alternative Mailing Address
For information calf 651.470.2788
Compliance
O No foundation drain connection
9 roof drain connection
,+''Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
'.
Entered S. L at
Roots
Service Lateral Inspection Findings
PoorPipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ..? / ` . €
4" to 6 "Transition:
G( Signature
White Copy: Property O vnet
J 1 r
1
Street Name
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
F
Number of stacks
Length of Service:
Record Number {. "
Obstruction
Unable to push past
feet
Yellow Copy: City of Eagan e
5T
(Al m
Time . {` • .. o pm
72' �y
l
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: °i/%,
P ink Copy: SEH