822 Ivy Lane - Inspection FormCity of E,aga.
Residential Sanitary Sewer Service
Compliance Inspection
Date..�( 31 J /
f-
Name ` Disk #
PID Number
House Number
Alternative Mailing Address
C k ) Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Street Name
Time
Oyfrrer /Occupant Signature
Compliance
O No foundation drain connection
c17 No roof drain connection
am
pm
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
Service Lateral Inspection Findings Number of stacks
Record Number
Obstruction
Unable to push past
feet
T } s J
Phone �� `; I _ ""
inspector Signature
For information calf 651
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S . at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition i
4" to 6 "Transition:
White Copy: Property Owner
Length of Service:
l
f .�igal Cleanout: f...
Notes
Y
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Yellow Copy: City of Eagan , - T" - °` 2 ;- - -- 5 ' : :4) " Copy: SEH
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Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
_ f ....
f , r ,.,
/ / C... f
Foundation drains
Roof drains
City of E,aga.
Residential Sanitary Sewer Service
Compliance Inspection
Date..�( 31 J /
f-
Name ` Disk #
PID Number
House Number
Alternative Mailing Address
C k ) Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Street Name
Time
Oyfrrer /Occupant Signature
Compliance
O No foundation drain connection
c17 No roof drain connection
am
pm
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
Service Lateral Inspection Findings Number of stacks
Record Number
Obstruction
Unable to push past
feet
T } s J
Phone �� `; I _ ""
inspector Signature
For information calf 651
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S . at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition i
4" to 6 "Transition:
White Copy: Property Owner
Length of Service:
l
f .�igal Cleanout: f...
Notes
Y
' -1 — ...._ -? , r te r' =- :. ,: :
' f'°" '. - "?' ,rte
w /
Yellow Copy: City of Eagan , - T" - °` 2 ;- - -- 5 ' : :4) " Copy: SEH
c °.. -. Cam
1
Sump pumps
` - ? �
r / ) C
J
f.
..
.-
Foundation drains
Roof drains
/'
`City of talan
Residential Sanitary Sewer Service
Compliance inspection
Date �"' i f �1 ) Time
Name. i ) Disk #
�--
t f
PID Number
House Number Street Name
Alternative Mailing Address
Transition
016rier /occupant ignature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Non - Compliance
Number Discharged
Total Correctly
am
Pm
Length of Service:
Incorrectly Unknown
Record Number
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Notes
� 17
r 71
0 am
Ti e rs.` pm
Phone ) - _ ( - L- kg4J
Inspector Signature
For information call 65 470.2788
Service Lateral inspection Findings Number of stacks " Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
No Access
O No one in
f
1 , i !'
ir)al Cleanout: /?
O Access to service
lateral needed
O inspection
refused
7
i //- a /J ) < _ -.r 'r- - -. - - - - 7 ; J
1
} _ JI
' -: ._. -- ' — a
Yellow Copy: City of Eagan . ' �° ' b Copy: SEH
1