4613 Penkwe Way - Inspection Form.4 1111. . - i a Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Datee / C7 )
Name
PID Number
House Number
V :yI
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
Roots
•
4" to 6 "Transition:
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition '` 1
r �
White Copy: Property Owner
Ch oc"" , C oam
Time .`j•
,
Street Name
Phone
Owferloccupant Signature
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
Disk #
pm
Record Number
V.4
Number of stacks ▪ Entered 5 L. at
1
...1..aFtgth 2
rte'
Yellow Copy: City of Eagan
• O
am
ime • pm
1 � 9- 7772
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
2
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly Unknown
Notes
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" � 1 =
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Sump pumps
/ I
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n
t ( ) m r'
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Foundation drains
--
Roof drains
.4 1111. . - i a Ea as
Residential Sanitary Sewer Service
Compliance Inspection
Datee / C7 )
Name
PID Number
House Number
V :yI
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
Roots
•
4" to 6 "Transition:
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition '` 1
r �
White Copy: Property Owner
Ch oc"" , C oam
Time .`j•
,
Street Name
Phone
Owferloccupant Signature
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
Disk #
pm
Record Number
V.4
Number of stacks ▪ Entered 5 L. at
1
...1..aFtgth 2
rte'
Yellow Copy: City of Eagan
• O
am
ime • pm
1 � 9- 7772
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
2
Pink Copy: SEH