4554 Lake Park Ct - Inspection FormCity al IataD
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number'
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
5 Z Sump pump properly piped
� O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time .,d •
Disk #
E )
7)-1-Street Name
Owner /Occupant Signature
l am
p pm
Alte rnati veKai I i ngcAddress
Length of Service:
�7 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
Record Number
Notes
Phone "y, , 1 7
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Time
Inspector Signature
Final Cleanout:
1 �
• Oani
• O pm
•
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
X.
--
Foundation drains
Roof drains
City al IataD
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number'
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
5 Z Sump pump properly piped
� O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Time .,d •
Disk #
E )
7)-1-Street Name
Owner /Occupant Signature
l am
p pm
Alte rnati veKai I i ngcAddress
Length of Service:
�7 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
Record Number
Notes
Phone "y, , 1 7
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Time
Inspector Signature
Final Cleanout:
1 �
• Oani
• O pm
•
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH