4611 1_2 Penkwe Way - Inspection Form"`
City of Eno
�
Residential Sanitary Sewer Service
Compliance Inspection
Dated ) 1 >r' Time
Name ., h T-
P1D Number
1
House Number l ) ? Street Name
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
- /
f
4" to 6" Transition:
White Copy: Property Owner
Owner Occupant Signature
Disk #
• 'o pm
an
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks f Entered S . at ^`
Roots
a '!
-1 ac th- of- Sertic
Yellow Copy: City of Eagan
Record Number
Phone
Time
Obstruction
Unable to push past
feet
(, o am
0 pm
7 ;
44
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: f r°�
Pink Copy: SEH
Number
Correctly
Discharged
Notes
Total
Incorrectly
Unknown
Sump pumps
�' _ (
- ;r • i `r � i: . /
' c.-j: ` ,,-
-
Foundation drains
Roof drains
'
"`
City of Eno
�
Residential Sanitary Sewer Service
Compliance Inspection
Dated ) 1 >r' Time
Name ., h T-
P1D Number
1
House Number l ) ? Street Name
Alternative Mailing Address
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
- /
f
4" to 6" Transition:
White Copy: Property Owner
Owner Occupant Signature
Disk #
• 'o pm
an
For information call 651.470.2788
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
Service Lateral Inspection Findings Number of stacks f Entered S . at ^`
Roots
a '!
-1 ac th- of- Sertic
Yellow Copy: City of Eagan
Record Number
Phone
Time
Obstruction
Unable to push past
feet
(, o am
0 pm
7 ;
44
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: f r°�
Pink Copy: SEH