832 Ivy Lane - Inspection FormCit of luau
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 x / /
Name it,�i,- n
PID Number
House Number.
Alternative Mailing Address
\; i
Compliance
Own ldcc upant Signature
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to b" Transition:
White Copy: Property Owner
Service Lateral Inspection Findings
Roots
Time / • • -� o pm
Street Name
J
i7
Damaged Pipe
L i
Transition /q L f 1 ��
J �
LdiJ-Lz1i
Non - Compliance
O Clear water connections to
sanitary sewer
Service lateral defects 4/ -
O Defective manholes >lr -4 ' "`
O Sump pump connected to san - s start'
sewer
O Flexible sump pump piping
Poor Pipejoints
Mineral Deposits
SaglPipe Deflection / &f
Length of Service:
Number Discharged
Sump pumps
Foundation drains
Roof drains
Total
Correctly
Incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
/
Time 1 -- •
N umber of stacks_ / Entered S L at .. 1'r'
Phone
/ %i
' 77 . ✓�_,
Inspector Signature -`
For information call 651 470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: 0 \
" A .
r
Est✓ -- 4,-.' °, z C'o4 J-7,77-24-5
Pink Copy: SEH
Sump pumps
__
Foundation drains
�o°]'
(./ e,.- - '") ---
_
_
__.
'�
Roof drains
" ` r T- - "
��
`
City or Eathan
'Residential Sanitary Sewer Service
Compliance Inspection
Date 1 / ? 1 /
•
Time / • -�
/
-)/7 34 /'l laisk #
/ l
PID Number
House Number i 7 Street Name
Name
Alternative Mailing Address
j f
wnet:/ ccupant Signature
For information call 651.47
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 44W
4" to 6 "Transition:
White Copy: Pr operty Owner
Number Discharged
Total Correctly
c2
am
0 pm
- LLI -L12]
Incorrectly
Non - Compliance
O Clear water connections to
sanitary sewer.
Service lateral defects / // ---
O Defective manholes
.lJ _
O Sump pump connected to sanitary -
sewer
O Flexible sump pump piping
Number of stacks __ !
Length of Service: /
Unknown
Yellow Copy: City of Eagan
Record Number
Notes
j ., • m
Time / • " pm
Phone _ % ‘7 -,)/
p
Inspector Signature ` —
Obstruction
Unable to push past
feet
Entered S L at j\71.410
Final Cleanout:U C
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
I i y fr G S.
7 ,
Pink Copy: SEH