4558 Lake Park Ct - Inspection FormSump pumps
1
v"
Foundation drains
Roof drains
~l
A
4 111. City of Ca a
Residential Sanitary Sewer Service
Compliance Inspection
Dated /�, .al / /'
1
Name ) , ) � /_i� Disk #
Compliance
O No foundation drain connection
s
Cl No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral Inspection Findings
4" to 6" Tr ansition:
White Copy: Property Owner
•n.0
Time • 0 pm
Owner /Occupant Signature
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
Number Discharged
Total Correctly Incorrectly Unknown
Record Number / —
PID Number
House Number ._ }_Street Name _ r� ?)1//"'`
Alternative Mailing Address Phone i 7)
For information call 651.470.2788
Entered S Lai
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service: Final Cleanout:
Notes
11,2o ,
Time
Obstruction
Unable to push past
feet.
•
o am
O pm
Inspector Signature /? l
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH