4609 1_2 Penkwe Way - Inspection Form41. City of Ea aii
Residential Sanitary Sewer Service
Compliance Inspection
Date L311 ) Time
Name ) Disk #
PID Number
House Number /> / Street Name
Alternative Mailing Address
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
-7 •610 am
▪ •
Pm
MEM
• f / 7.�Ls.si� � t
/ Owner /Occupant Signature
Sag /Pipe Deflection
Damaged Pipe
4
Transition 2--/—
•
i ;�
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 Later�al.Thspection Findings ' Nu of stacks ! Entered S L at -! / :- :a s
Roots .a' .'`�.•, a -;x ;',_..-
Poor�Pipe Joints
. Y
Mineral Deposits
Length of Service:
Yellow Copy: City of Eagan
r
Record Number
• - -'J am
• Time �. • 0
Phone .4-7 )
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
1
Total
Notes
i
t-' I `�
1 _ s .
7)
- / ' ,_ -
r . J
i.
n . ----
I ' � � , ' ~
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
� - l
r � 'r7 #
i j 1 --
Foundation drains
'
Roof drains
41. City of Ea aii
Residential Sanitary Sewer Service
Compliance Inspection
Date L311 ) Time
Name ) Disk #
PID Number
House Number /> / Street Name
Alternative Mailing Address
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
-7 •610 am
▪ •
Pm
MEM
• f / 7.�Ls.si� � t
/ Owner /Occupant Signature
Sag /Pipe Deflection
Damaged Pipe
4
Transition 2--/—
•
i ;�
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 Later�al.Thspection Findings ' Nu of stacks ! Entered S L at -! / :- :a s
Roots .a' .'`�.•, a -;x ;',_..-
Poor�Pipe Joints
. Y
Mineral Deposits
Length of Service:
Yellow Copy: City of Eagan
r
Record Number
• - -'J am
• Time �. • 0
Phone .4-7 )
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
1