4612 Penkwe Way - Inspection Form 2
Residential Sanitary Sewer Service
City I p Compliance Inspection
'
Date/ _ -/-"L Aa- Time '7 c~rz 9 pm Record Number,
Name__ 1C° / Disk # Time p pm
PID Number,
/
House Number Street Name ~ C-' / l: f /
Alternative Mailing Address-- Phone ff /`l / f f!• ~ ~'I
OwnerlOccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
Q+ No foundation drain connection O Clear water connections to Unable to push past O No one in
x;
sanitary sewer feet, O Access to service
I No roof drain connection O Service lateral defects
Sump pit not connected to lateral needed
sanitary sewer O Defective manholes O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S,L,at ..1'- C"
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
,-`R UC. - t _72
Transition 1nj ? V
1 !
4" to b" Transition: Length of Service: Final Cleanout: .
Discharged
Number Notes / /~O k-VV Total Correctly Incorrectly Unknown 97F- 1
of L f
Sump pumps
2 { vi, C
Foundation drains f f`
Roof drains -
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH