4552 Lake Park Ct - Inspection Form41111iP City of Fiapii
Residential Sanitary Sewer Service
Compliance Inspection
Date/ fl ) f 1 /l Time._ • /1 pm
Name .41 ;'` ; /"i Disk # L I 1
PID Number
House Number "/ ,Street Name
Alternative Mailing Address Phone
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
.d No sump pump
4" to 6" Transition:
White Copy: Piopet ty Owner
Owner /Occupant Signature
Length of Service:
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
• 0 am
Time • o pm
- 2) /
Obstruction
Unable to push past
feet
inspector Signature :)
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
"
- ' ✓x' '; 5 '1 r ` ' �i f = % /!
„ , )♦ /
Total
Sump pumps �
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-� ' �'
/
Foundation drains
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.' , '),�
.- J
' (. ` �.-
Roof drains
41111iP City of Fiapii
Residential Sanitary Sewer Service
Compliance Inspection
Date/ fl ) f 1 /l Time._ • /1 pm
Name .41 ;'` ; /"i Disk # L I 1
PID Number
House Number "/ ,Street Name
Alternative Mailing Address Phone
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
.d No sump pump
4" to 6" Transition:
White Copy: Piopet ty Owner
Owner /Occupant Signature
Length of Service:
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
• 0 am
Time • o pm
- 2) /
Obstruction
Unable to push past
feet
inspector Signature :)
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan
Final Cleanout:
Pink Copy: SEH