4610 1_2 Penkwe Way - Inspection FormCity of Ca as
Residential Sanitary Sewer Service
Compliance Inspection
Date Cal f 1 /
Name - e 11 Pn ` ,A Mif?i / / /3,; 'Disk#
PID Number
House Number 4 /r1
White Copy: Propetty Owner
Time 62.0 Pam
Street Name
1/
Ownerl0ccupantiignature J ""
Alternative Mailing Address a
For information call 651.470.2788
Compliance
O No foundation drain connection
Z 'No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Roots
4" to 6 "Transition:
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
Length of Service:
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks , ( Entered S . at ` ":,"' (
Damaged Pipe
Transition vc r,. U C .> 7 , /4, //it, l v >. f t1/2, 4- ./-1.__(3
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
14-2 r f
SaglPipe Deflection f Y tW'�.erf :" flier
lrC7 ZJrL!
Yellow Copy: City of Eagan
0
Record Number f } -
Phone
J � 0 am
Time - • 7A.m
Inspector Signature
Pink Copy: SEH
Number Discharged
Notes 6-C' ?,''(
2 rc�°" v p
r
Aim i
Total
Correctly
Incorrectly
Unknown
Sump pumps
C. � ~..'
Foundation drains
Roof drains
City of Ca as
Residential Sanitary Sewer Service
Compliance Inspection
Date Cal f 1 /
Name - e 11 Pn ` ,A Mif?i / / /3,; 'Disk#
PID Number
House Number 4 /r1
White Copy: Propetty Owner
Time 62.0 Pam
Street Name
1/
Ownerl0ccupantiignature J ""
Alternative Mailing Address a
For information call 651.470.2788
Compliance
O No foundation drain connection
Z 'No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Roots
4" to 6 "Transition:
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
Length of Service:
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks , ( Entered S . at ` ":,"' (
Damaged Pipe
Transition vc r,. U C .> 7 , /4, //it, l v >. f t1/2, 4- ./-1.__(3
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
14-2 r f
SaglPipe Deflection f Y tW'�.erf :" flier
lrC7 ZJrL!
Yellow Copy: City of Eagan
0
Record Number f } -
Phone
J � 0 am
Time - • 7A.m
Inspector Signature
Pink Copy: SEH