4645 Penkwe Way - Inspection FormCity a! Ca an
Residential Sanitary Sewer Service
Compliance Inspection
Date /7 / /!2
Name /5
Number
Compliance
0 No foundation drain connection
t p` No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to b" Transition:
White Copy: Property Owner
Time // :Se/
4 Disk #
Owner /Occupant Signature
0
0
0
0
0
0
1-louse Number / Street Name
dam
O pm
Z
Alternative Mailing Address
0
For information call 651.470.2788
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Transition Li id N3 /! i fA C l 1 L/1
Yellow Copy: City of Eagan
Record Number
/ t
Time / /
inspector Signature
Obstruction
Unable to push past
feet.
• _D y 7 am
• O pm
Phone !i / / 0 ,f.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at _ r`A ("0
Length of Service: ifj, ,c- Final Cleanout:
Notes -- t/f'/ .vYA—/
z r, J 17- r/,
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
III
Sump pumps
2
11111----
Foundation drains
--
Roof drains
City a! Ca an
Residential Sanitary Sewer Service
Compliance Inspection
Date /7 / /!2
Name /5
Number
Compliance
0 No foundation drain connection
t p` No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to b" Transition:
White Copy: Property Owner
Time // :Se/
4 Disk #
Owner /Occupant Signature
0
0
0
0
0
0
1-louse Number / Street Name
dam
O pm
Z
Alternative Mailing Address
0
For information call 651.470.2788
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Transition Li id N3 /! i fA C l 1 L/1
Yellow Copy: City of Eagan
Record Number
/ t
Time / /
inspector Signature
Obstruction
Unable to push past
feet.
• _D y 7 am
• O pm
Phone !i / / 0 ,f.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at _ r`A ("0
Length of Service: ifj, ,c- Final Cleanout:
Notes -- t/f'/ .vYA—/
z r, J 17- r/,
Pink Copy: SEH