3439 Ivy Lane - Inspection FormSump pumps
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Foundation drains
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Roof drains
ilu City of hap]
Residential Sanitary Sewer Service
Compliance Inspection
For information call 651.470.2788
Compliance
O No foundation drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
k :k 1 No sump pump
Date ()=-) / /6 Time 4 : 11
Name 20,46 (// L„ Disk #
PID Number
House Number -A (.7 2
Alternative Mailing Address \_l_r Phone
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CIWIl&lOCC Signature
No roof drain connection
4" to 6" Transition:
ineGi /
Service Lateral inspection Findings
Roots
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Pi °pm tyOwner
• MAW /0/1/A/ir 77.9
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-TeAr
Street Name
—2-4/7
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
Number of stacks Entered S L at -
Length of Service:
Number Discharged
Total
Correctly
Incorrectly
Yellow Copy: City of Eagan
Unknown
CLEJ
Record Number
Notes
- •
(7,1:...2A •
/j¼2 117
Time /0 :
/inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet.
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0 p
O Access to service
lateral needed
O Inspection
refused
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Final Cleanout:
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7:-
Pink Copy: sEH
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