4647 Penkwe Way - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date •1 "/ / 1( Time
Name . • { \ 7 Disk #
PID Number'
1 -louse Number
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Alternative Mailing Address Phone
Ownerl0ccupant S ignature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings N mb of stacks
Roots - - / -
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Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /]
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Transition
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4" to 6 " Transition: - Length- o€-Sei -vim;
White Copy: Property Owner
1 -4 - 7Street Name
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
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
Record Number 1
EE Time • __. _ ' 0 a
' • CO pm
Inspector Signature
Obstruction
Unable to push past
feet.
T Entered S.L. at
Notes
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
1 a° r1
. Final Cleanout: '
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Pink Copy: SEH