845 Ivy Lane - Inspection FormCity of EaftaH
Residential Sanitary Sewer Service
Compliance Inspection
Name
' g '
RD Number
ti
f -douse Number
12 r•native MailingAddress
r ; a
� f '_✓ r
4" to 6 " Transition:
Compliance
O No foundation drain connection
1Ci No roof drain connection
A\ s
0' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
_ : t fe5 am
Time ,-�` • : pm
Street Name
,,
� ll $ ice"'''' /r)
aa 1,x",1" d:- �� ��i F .r' o "
r wneri ccuparit,Sightiture
Length of Service:
Yellow Copy: City of Eagan
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
Record Number "
Time
Phone of
Inspector Signature
For information call 651.4701788
Obstruction
Unable to push past
feet
EnteredS.L.at
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
d am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t F
Final Cleanout:
Pink Copy: SEH
Number
g rrectly.
Discharged
Incorrectly Unknown
Notes
t
' °�
', - � ���i 4 �
"gip 7 �.f 'i' - ,) :-
f
9 . -• C a J f
, ,:e.::-..-; ` t ' ... . -1 3 t
�� �
1 °f • fi ^ • . s'..
Total
Sump pumps
.r1f i
s: s
/7„..-1 e-
r !;`rJ
'g
.. a 1 � 1
a i , wJ
Foundation drains
MEI
Roof drains
MIMI
City of EaftaH
Residential Sanitary Sewer Service
Compliance Inspection
Name
' g '
RD Number
ti
f -douse Number
12 r•native MailingAddress
r ; a
� f '_✓ r
4" to 6 " Transition:
Compliance
O No foundation drain connection
1Ci No roof drain connection
A\ s
0' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
White Copy: Property Owner
_ : t fe5 am
Time ,-�` • : pm
Street Name
,,
� ll $ ice"'''' /r)
aa 1,x",1" d:- �� ��i F .r' o "
r wneri ccuparit,Sightiture
Length of Service:
Yellow Copy: City of Eagan
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
Record Number "
Time
Phone of
Inspector Signature
For information call 651.4701788
Obstruction
Unable to push past
feet
EnteredS.L.at
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
d am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
t F
Final Cleanout:
Pink Copy: SEH