4591 Lake Park Dr - Inspection FormCity of f ap ui
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 1 : 1
Name / °:'i Disk #
PID Number
House Number L'°r" 2 7 - 7 -( 1 i Street Name
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6 "Transition:
White Copy: Proper ty Owner
• 0 0 a
Time. • 4 pm
O
O
O
O
0
Non - Compliance
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:
-m
Record Number
1 1
Time
Inspector Signature
•
Phone ,
Obstruction
Unable to push past
feet
• 6:7d 0 am
• pm
Entered S.L. at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
otes
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O inspection
refused
C
( /
(1/� ()) ""'2 1. i �' /-s 'T"
_ f'
Yellow Copy: City of Eagan Pink Copy: SEH
•
Number Discharged
J
Total
Correctly Incorrectly
Ell
Unknown
Sump pumps
Foundation drains
Roof drains
City of f ap ui
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 1 : 1
Name / °:'i Disk #
PID Number
House Number L'°r" 2 7 - 7 -( 1 i Street Name
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
4" to 6 "Transition:
White Copy: Proper ty Owner
• 0 0 a
Time. • 4 pm
O
O
O
O
0
Non - Compliance
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:
-m
Record Number
1 1
Time
Inspector Signature
•
Phone ,
Obstruction
Unable to push past
feet
• 6:7d 0 am
• pm
Entered S.L. at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
otes
Final Cleanout:
No Access
O No one in
Access to service
lateral needed
O inspection
refused
C
( /
(1/� ()) ""'2 1. i �' /-s 'T"
_ f'
Yellow Copy: City of Eagan Pink Copy: SEH
•
Sump pumps
Foundation drains
/
l i
Roof drains
41111. City of Capri
Residential Sanitary Sewer Service
Compliance Inspection
0
Date' f" l 7
Name .!. /,
PID Number
House Number
pliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6 "Transition:
White Copy: Pr operty Owner
Total
• Ja am
Time y � • pm
Disk #
' Street Name
t
Alternative Mailing Address Phone �'
OwnerlOccupant Signature
For information call 651.470.2788
Service Lateral Inspection Findings
Roots
Non - Compliance
O
O
O
O
O
Transition 7 .
Correctly
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks` 'l Entered S L,at
•
Length of Service:
Incorrectly
Unknown
aaro. .c.141
Record Number
Notes
a
4
Number Discharged
•
Inspector Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
p am
Pm
Yellow Copy: City of Eagan Pink Copy: SEH