4620 1_2 Penkwe Way - Inspection FormCity or Ea th
Residential Sanitary Sewer Service
Compliance Inspection
Date/ )e / 1(% Time
Name
PID Number
House Number Street Name
Alternative Mailing Address Phone /-a _ 1 ° ..`'"C��
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Disk #
/ O rrer - / porn' igrrpture Inspector Signature
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
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
3
r
c ,
Transition
9 �
Letigt , of Sery ee:
Yellow Copy: City of Eagan
'
Record Number I
• O am
Time e • pm
littik27
Obstruction
Unable to push past
feet.
Entered S L at
_
-7- Final Cleanout:,
t/e
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
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Total
Sump pumps
Foundation drains
drains
/1
<
MI Roof
City or Ea th
Residential Sanitary Sewer Service
Compliance Inspection
Date/ )e / 1(% Time
Name
PID Number
House Number Street Name
Alternative Mailing Address Phone /-a _ 1 ° ..`'"C��
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Disk #
/ O rrer - / porn' igrrpture Inspector Signature
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
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
3
r
c ,
Transition
9 �
Letigt , of Sery ee:
Yellow Copy: City of Eagan
'
Record Number I
• O am
Time e • pm
littik27
Obstruction
Unable to push past
feet.
Entered S L at
_
-7- Final Cleanout:,
t/e
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH