828 Ivy Lane - Inspection FormResidential Sanitary Sewer Service
1 o Eaq,ao Compliance Inspection
l ' / • ,00 O am
7�> / e
Date i� 1. / . c� Time ,pm
Name /f1-1
HD Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
'No sump pump
Poor Pipejoints,
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition Lit
4" to 6 "Transition:
White Copy: Property Owner
Disk #
0
O
O
O
0
0
OwnerlGccupant Signature
Non - Compliance
1i1J-L±LJ
Street Namo- ..G—iV
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Phone
ra Time
Inspector Signature _
Obstruction
Unable to push past
feet
0 am
6 pm
For information call 651.470.2788
No Access
O No one in
Service Lateral Inspection Findings Number of stacks Entered S.L. at 1 7 (
Roots ' J 1 ,66
O Access to service
lateral needed
O Inspection
refused
1
z/ov ru( f r-5 r -
Length of Service: 7 m' Final Cleanout:
Notes , oz„ L ,
Oci..S74r ,S /Ar /c.
01S/Ai r ! r P Pink Copy: SEH
. e-- /CGr l3
Number Discharged
Total
Correctly
EMI
Incorrectly Unknown
Sump pumps
f"
Foundation drains
Roof drains
Residential Sanitary Sewer Service
1 o Eaq,ao Compliance Inspection
l ' / • ,00 O am
7�> / e
Date i� 1. / . c� Time ,pm
Name /f1-1
HD Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
'No sump pump
Poor Pipejoints,
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition Lit
4" to 6 "Transition:
White Copy: Property Owner
Disk #
0
O
O
O
0
0
OwnerlGccupant Signature
Non - Compliance
1i1J-L±LJ
Street Namo- ..G—iV
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number
Phone
ra Time
Inspector Signature _
Obstruction
Unable to push past
feet
0 am
6 pm
For information call 651.470.2788
No Access
O No one in
Service Lateral Inspection Findings Number of stacks Entered S.L. at 1 7 (
Roots ' J 1 ,66
O Access to service
lateral needed
O Inspection
refused
1
z/ov ru( f r-5 r -
Length of Service: 7 m' Final Cleanout:
Notes , oz„ L ,
Oci..S74r ,S /Ar /c.
01S/Ai r ! r P Pink Copy: SEH
. e-- /CGr l3
City ni' a au
Residential Sanitary Sewer Service
Compliance Inspection
Date 07/ I •
Name D "I /)XL— - Disk #
PID Number
House Number
7
Alternative Mailing Address
4" to 6" Transition:
Compliance
O No foundation drain connection
AD No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
AY'No sump pump
White Copy: Pioperty Owner
w oam
0 Time E' s �(' frpm
Owner /Occupant Signature
For information. call 651 470.2788
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition LI .✓ As
1'
A//
Street Name -2 /./ LAV
Phone /.�
Non - Compliance
0
O
O
O
0
Service Lateral Inspection Findings
Roots
f i( 's
1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan a~
Record Number
f a
ime •
. Signature
Obstruction
Unable to push past
feet
E tered S.L.at 7711
o/, am
,E3` pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Notes i c/ 01",
Q$S/ S /A,f /c
(7e'U
C(• ,
/
4(/ :' C (7c2
0,44 r
/ yrf
Pink Copy: SEH
d
- 77,
Total
Number.
Correctly
Discharged
Incorrectly
Unknown
Sump pumps
Foundation drains
/,.
Roof drains
_..._.,
City ni' a au
Residential Sanitary Sewer Service
Compliance Inspection
Date 07/ I •
Name D "I /)XL— - Disk #
PID Number
House Number
7
Alternative Mailing Address
4" to 6" Transition:
Compliance
O No foundation drain connection
AD No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
AY'No sump pump
White Copy: Pioperty Owner
w oam
0 Time E' s �(' frpm
Owner /Occupant Signature
For information. call 651 470.2788
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition LI .✓ As
1'
A//
Street Name -2 /./ LAV
Phone /.�
Non - Compliance
0
O
O
O
0
Service Lateral Inspection Findings
Roots
f i( 's
1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan a~
Record Number
f a
ime •
. Signature
Obstruction
Unable to push past
feet
E tered S.L.at 7711
o/, am
,E3` pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Notes i c/ 01",
Q$S/ S /A,f /c
(7e'U
C(• ,
/
4(/ :' C (7c2
0,44 r
/ yrf
Pink Copy: SEH
d
- 77,