4614 Penkwe Way - Inspection Form
Residential Sanitary Sewer Service
city or tap Compliance Inspection
am
Date 1 I i Time `pm Record Number _
~.4
1 1 . •
arn (N I; / w o pm
Disk ~0~_I 1 1 Time
ame I d 11
PID Number
House Number /J Street Name _-"1~~~ 1~ f r` O~'"
Alternative Mailing Address Phone r-
t wnerlOccupont 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
No roof drain connection sanitary sewer feet O Access to service
✓ \ O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspectlon
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 St at
Roots
Poor Pipejoints -
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition- _.__~~_~r"..
4" to 6" Transition: I .Le~€eiee~ '7t~ Final Cleanout:°?-_, 7 -
Noy~tTss _
Number Discharged
Total Correctly Incorrectly Unknown i°
?
(n )
Sump pumps
Foundation drains
Roof drains t
White Copy: Propeity Owner Yellow Copy: City of Eagan Pink Copy: SEH