4585 Lake Park Dr - Inspection FormCity or Cape
Residential Sanitary Sewer Service
Compliance inspection
Date 05 / 1 /
Name - /? . '_ 7,/ff',/
(../✓ ? = rC'
PID Number
House Number ;-/(2 Street Name _ /'` , =-%t' /'
Alternative Mailing Address
✓��
i'
Ownerl0ccupant Signature
For information call 65
Compliance
t\ No foundation drain connection
/O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Tr ansition:
White Copy: Property Owner
Time • r ' 0 p m
Disk #
Non - Compliance
O Clear water connections to
sanitary sewer
Service lateral defects Cr'
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Record Number
,y
Phone ' 2
insPector Signature
•
'o am
Time 0 • / o pm
obstruction
Unable to push past
feet
Entered S.L.at .'.'i ?t..
Roots
Poor Pipe joints
Mineral Deposits /
Sag /Pipe Deflection I ,
Damaged Pipe j 06 // : r4F 4-
Transition 1"1/ //` /, t ai /'` vC
Length of Service:
Yellow Copy: City of Eagan
Final Cieanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number ,Discharged
Notes Si,- 1 . ..6 ;t r % - t j
l
'r; , (f..2>(-6 V �� . ; r'r , .
c G Y' i` ' = 5rn
1/r,
Oli -ilAl ( ; 7 ' .1)v
Total
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
f '
Roof drains
� �
--
City or Cape
Residential Sanitary Sewer Service
Compliance inspection
Date 05 / 1 /
Name - /? . '_ 7,/ff',/
(../✓ ? = rC'
PID Number
House Number ;-/(2 Street Name _ /'` , =-%t' /'
Alternative Mailing Address
✓��
i'
Ownerl0ccupant Signature
For information call 65
Compliance
t\ No foundation drain connection
/O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Tr ansition:
White Copy: Property Owner
Time • r ' 0 p m
Disk #
Non - Compliance
O Clear water connections to
sanitary sewer
Service lateral defects Cr'
O Defective manholes
Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Number of stacks
Record Number
,y
Phone ' 2
insPector Signature
•
'o am
Time 0 • / o pm
obstruction
Unable to push past
feet
Entered S.L.at .'.'i ?t..
Roots
Poor Pipe joints
Mineral Deposits /
Sag /Pipe Deflection I ,
Damaged Pipe j 06 // : r4F 4-
Transition 1"1/ //` /, t ai /'` vC
Length of Service:
Yellow Copy: City of Eagan
Final Cieanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH