4629 1_2 Penkwe Way - Inspection FormsResidential Sanitary Sewer Service
Compliance Inspection
Date 031 / 71 ,
r {
Name I i d```am! e 44 -'i:.'i jDisk #
PID Number
House Number f 0 Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection.
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
tJ • _7 O' ,rgm
Time • o pm
Owner /Occupant Signature
J-
€%r✓XMu_
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
/r1
/ ter A / 94-,. /KI
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
/inspector Signature
Obstruction
Unable to push past
feet
O am
•
Phone - .) 7 s 07 i'
Final Cleanout:
• O pm
No Access
No one in
Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes [)
' � ` ,"£"'`' =rA•
O G .t ie ,ice
,9 6° f t
tJ % G s�
c
;°1 f'
f y ° _._..
Total
Sump pumps
Foundation drains
---
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
Date 031 / 71 ,
r {
Name I i d```am! e 44 -'i:.'i jDisk #
PID Number
House Number f 0 Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection.
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
tJ • _7 O' ,rgm
Time • o pm
Owner /Occupant Signature
J-
€%r✓XMu_
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
/r1
/ ter A / 94-,. /KI
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
/inspector Signature
Obstruction
Unable to push past
feet
O am
•
Phone - .) 7 s 07 i'
Final Cleanout:
• O pm
No Access
No one in
Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
4111110. • Ctt a kan
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 , / 1 Li
Name VZ-4 / . & iiJ Disk #
i TES t aA)
PID Number.
I
Alternative Mailing Address
House Number
E
ES e Street Name
.�
OwnerfOcccitant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
0' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots 2 rl , S rf"
4" to 6" Transition:
/
ffic
White Copy: Property Owner
Time • o pm
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
Number of stacks
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 1 /v
I
Length of Service:
Record Number
Phone ( "r5 "-., O is
72 44/
' Inspector Signature
Time
Obstruction
Unable to push past
feet.
Yellow Copy: City of Fagan Ar
1
w
Entered S . at J lYr
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /6. xV
Pink Copy: SEH
Number
Total Correctly
Sump pumps ® -
Foundation drains
Discharged
incorrectly
Unknown
N otes _ v �-, ,,f L , s.4_,- .. ;' A
7 3., ; 57 '` / -r J - - � y
i o `�`,: � ,
u
� -"` j r
®
Roof drains
- �
4111110. • Ctt a kan
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 , / 1 Li
Name VZ-4 / . & iiJ Disk #
i TES t aA)
PID Number.
I
Alternative Mailing Address
House Number
E
ES e Street Name
.�
OwnerfOcccitant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
0' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots 2 rl , S rf"
4" to 6" Transition:
/
ffic
White Copy: Property Owner
Time • o pm
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
Number of stacks
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 1 /v
I
Length of Service:
Record Number
Phone ( "r5 "-., O is
72 44/
' Inspector Signature
Time
Obstruction
Unable to push past
feet.
Yellow Copy: City of Fagan Ar
1
w
Entered S . at J lYr
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: /6. xV
Pink Copy: SEH