4584 Lake Park Dr - Inspection Form, 41 .0 11. lay of hp
Residential Sanitary Sewer Service
Compliance I nspection
Date
Name I-
4" to 6" Transition:
) /
PID Number
}
House Number ! -- i Street Name
White Copy: Property Owner
Disk #
Alternative Mailing Address
Owner /Occupant Signature
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
Service Lateral Inspection Findings
*00 4 am
Time • o pm
a `
J
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
Length of Service:
Yellow Copy: City of Eagan
Record Number ' 1
Phone } _�
•
Time • O pin
inspector Signature 1)c -°' i . 1
I
7
For information call 651 A70.2788
Obstruction
Unable to push past
feet
Entered S L.at
Final Cleanout:
0 am
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
Number
Correctly
Discharged
Incorrectly
Unknown
V otes
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Sump pumps
Y
Foundation drains
Roof drains
, 41 .0 11. lay of hp
Residential Sanitary Sewer Service
Compliance I nspection
Date
Name I-
4" to 6" Transition:
) /
PID Number
}
House Number ! -- i Street Name
White Copy: Property Owner
Disk #
Alternative Mailing Address
Owner /Occupant Signature
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
Service Lateral Inspection Findings
*00 4 am
Time • o pm
a `
J
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
Length of Service:
Yellow Copy: City of Eagan
Record Number ' 1
Phone } _�
•
Time • O pin
inspector Signature 1)c -°' i . 1
I
7
For information call 651 A70.2788
Obstruction
Unable to push past
feet
Entered S L.at
Final Cleanout:
0 am
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