1489 Lake Park Cir - Inspection Form4 1 ! 1111. Cit ill to an
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date L 1 ) J J`
- rte ✓ ,_,..
Name
PID Number
House Number )
Alternative Mailing Address
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
•e5oam
Time • p
1 !,
Disk#
Street Name
Owner /Occupant Signature
Compliance
O No foundation drain connection
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
f - 2
Phone #(
). , r J % r ✓
0 am
• O pm
Final Cleanout:
r
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
SaglPipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Notes
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Number
Discharged
Total
Correctly
Y
Incorrectly
Y
Unknown
Sump pumps
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f
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3rd
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Foundation drains
J
Roof drains
4,'
4 1 ! 1111. Cit ill to an
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date L 1 ) J J`
- rte ✓ ,_,..
Name
PID Number
House Number )
Alternative Mailing Address
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
•e5oam
Time • p
1 !,
Disk#
Street Name
Owner /Occupant Signature
Compliance
O No foundation drain connection
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
f - 2
Phone #(
). , r J % r ✓
0 am
• O pm
Final Cleanout:
r
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
SaglPipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH