4555 Lake Park Dr - Inspection Form441111 City ai� Ea a
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number --- ' Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4” to 6 " Transition:
White Copy: Property Owner
} *60g am
Time • r pm
Owner /Occupant Signature
� f
Disk #
Length of Service:
Yellow Copy: City of Eagan
IT1
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.
Time
•
•
Phone
Ins pect Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Final Cleanout:
O am
O pm
)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
r ,t
Foundation drains
Roof drains
,:
441111 City ai� Ea a
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number --- ' Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4” to 6 " Transition:
White Copy: Property Owner
} *60g am
Time • r pm
Owner /Occupant Signature
� f
Disk #
Length of Service:
Yellow Copy: City of Eagan
IT1
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.
Time
•
•
Phone
Ins pect Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Final Cleanout:
O am
O pm
)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH