4549 Lake Park Dr - Inspection Form
Residential Sanitary Sewer Service
City I p Compliance Inspection
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Date! i I Time -j pmm Record Number-
Disk am
Name ✓ # Time r am
PID Number
House Number Street Name
Alternative Mailing Address Phone"` .
1 wJ s f---
Ownerl0ccupant Signature - Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear water connections to Unable to push past O No one in
No roof drain connection sanitary sewer, feet O Access to service
1 O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
A No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
r Damaged Pipe
Transition 4`r
P'4" to 6"Transition: Length of Service: 'nal Cleanout: J j f
Notes
Number Discharged
TCorrIncorrectly Unknown
Sump pumps
Foundation drains
Roof drains'
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH