4566 Lake Park Ct - Inspection Form4 111 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date (11 1 1
' I Name ', 4 � ,. i. /. !
PID Number
Mouse Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
O� No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
CS Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time /� -•
Disk #
Owner /Occupant Signature
-�� Street Name
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
am
P
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan
Record Number
Time
_ 77
Phone
l i �
Inspector Signature
Obstruction
Unable to push past
feet
p am
•
• —0 pm
Length of Service: Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
1
Service Lateral Inspection Findings Number of stacks Entered S,L.at
Roots
Notes
- .17_, _ i
�r -�' , 7 - - -,�' �' ._4.. i G''!j�
Pink Copy: SE H
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
:. /r
r � ',
�� ��
,-
, ,.
�/;
i !
Foundation drains
f
f \
t ,
Roof drains
_......
4 111 City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date (11 1 1
' I Name ', 4 � ,. i. /. !
PID Number
Mouse Number
Alternative Mailing Address
For information call 651.470.2788
Compliance
O� No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
CS Sump pump properly piped
0 No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time /� -•
Disk #
Owner /Occupant Signature
-�� Street Name
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
am
P
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Eagan
Record Number
Time
_ 77
Phone
l i �
Inspector Signature
Obstruction
Unable to push past
feet
p am
•
• —0 pm
Length of Service: Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
1
Service Lateral Inspection Findings Number of stacks Entered S,L.at
Roots
Notes
- .17_, _ i
�r -�' , 7 - - -,�' �' ._4.. i G''!j�
Pink Copy: SE H