4548 Lake Park Ct - Inspection FormDate /1
Name
f1
,
• 7 L'
PID Number
House Number. ) ° A Street Name
Alternative Ma}IrhgAddress
r
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
OwnerlOc5u#ant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Disk # TT]
41, 11 ‘ City fFi p
Y �
Residential Sanitary Sewer Service
Compliance Inspection
fC am
Time ✓ �p pm
/
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
Number of stacks
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Entered S.I at
Final Cleanout:
• am
• O pm
Phone I <-"�6
Inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total,
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
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Foundation drains
Roof drains,
]
/
Date /1
Name
f1
,
• 7 L'
PID Number
House Number. ) ° A Street Name
Alternative Ma}IrhgAddress
r
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
OwnerlOc5u#ant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
Disk # TT]
41, 11 ‘ City fFi p
Y �
Residential Sanitary Sewer Service
Compliance Inspection
fC am
Time ✓ �p pm
/
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
Number of stacks
Yellow Copy: City of Eagan
Record Number
Time
Obstruction
Unable to push past
feet
Entered S.I at
Final Cleanout:
• am
• O pm
Phone I <-"�6
Inspector Signature
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH