838 Ivy Lane - Inspection Form411111161 CitY nt Eag.a
Residential SanitarY Sewer Service
Compliance Inspection
Date 7)7/ ,,T /',
Name if, ?7,5 Disk #
I A
PID Number -
House Number
Alternative Mailing Addy ess
For information call 651A70.2788
Compliance
0 No foundation drain connection
Cp, No roof drain connection
Sump pc not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition &/ AM
4" to 6" Transition:
White Copy: Pi ty Owner
Owner/Occupant Signature
Time /V • ■ ( - 2 C' r
Street Name _L1 -
Mon-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
Mire -
11 1214 1 21
1
Record Number
Length of Service:
14pector Signature
Obstruction
Unable to push past
feet
r
Time • Yo oam
PRI
Ph ne 76/A
/
No Access
O No one in
O Inspection
r efused
Entered S at j I ( 7 /7
.
Yellow Copy: City of Eagan 0 -
O Access to service
lateral needed
Final Cleanout: i y A ,m/ v4 ". tr .,
Copy: SEH
. . . Mintier
Correctly
Discharged.- :.. :....'.,
Notes -- 4 , , v,,b,
2.,.
Total
Incorrectly
Unknown
Sump pumps
....,-- •
_
4 ,- ...-i 1 ' c
/ je,
(
---lie 4,4 WA/ /J/r/e: T) 01 / ' 1
(/.21 ) 5 / . .4: ra
i , 1
,
Foundation drains
Roof drains
i ---
411111161 CitY nt Eag.a
Residential SanitarY Sewer Service
Compliance Inspection
Date 7)7/ ,,T /',
Name if, ?7,5 Disk #
I A
PID Number -
House Number
Alternative Mailing Addy ess
For information call 651A70.2788
Compliance
0 No foundation drain connection
Cp, No roof drain connection
Sump pc not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition &/ AM
4" to 6" Transition:
White Copy: Pi ty Owner
Owner/Occupant Signature
Time /V • ■ ( - 2 C' r
Street Name _L1 -
Mon-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
Mire -
11 1214 1 21
1
Record Number
Length of Service:
14pector Signature
Obstruction
Unable to push past
feet
r
Time • Yo oam
PRI
Ph ne 76/A
/
No Access
O No one in
O Inspection
r efused
Entered S at j I ( 7 /7
.
Yellow Copy: City of Eagan 0 -
O Access to service
lateral needed
Final Cleanout: i y A ,m/ v4 ". tr .,
Copy: SEH