4630 Penkwe Way - Inspection Form
Residential Sanitary Sewer Service
city ! a!r Compliance nspection
Date .T='7 1 IT r i Time o pm Record Number r
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Name Disk # J Time pm
PID Number
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House Number, ' Street Name ✓Alternative Mailing Address Phone
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OwnerlOccuptont Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water connections to Unable to push past O No one in
f sanitary sewer _ feet
No roof drain connection O Access to service
O Service lateral defects lateral needed
,Q Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
service Lateral Inspection Findings Number, of stacks ~-1 Entered S. L, at
Roots )
Poor Pipe Joints
Mineral Deposits
r
Sag/Pipe Deflection
Damaged Pipe '
Transition
4" to 6"Transition: Length of Service: Final Cleanout:f;.; a
Notes
Number Discharged
Total Correctly Incorrectly Unknown 1 µ
Sump pumps=
r _7T
Foundation drains r - I
X.
[Roof drains'
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH