4625 Penkwe Way - Inspection FormsSump pumps
i /)
Foundation drains
Roof drains
/ 1
City of ldpf
Residential Sanitary Sewer Service
Compliance Inspection
Date, -/ . / /(
Name i Disk#
PID Number
House Number
Alternative Mailing Address
f !
4" to 6" Transition:
White Copy: Property Owner
CL.3b
Time • pm
Street Name _ f r. • () , ) / \/ ' 11) v
Phone ( i / 7:(
OwnerlOccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Damaged 1 e7"
�
Transition
Total
Correctly
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 Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Length of Service:
Number Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Time
;i
Inspector Signature
Obstruction
Unable to push past
feet
o am
•
1
T7 pm
Entered S L.at 2
Final Cleanout:
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Not s
r
i/ 1 :.?. -7
Pink Copy: SEH
Sump pumps
i /)
Foundation drains
Roof drains
/ 1
City of ldpf
Residential Sanitary Sewer Service
Compliance Inspection
Date / /(
Name i Disk#
PID Number
House Number
Alternative Mailing Address
f !
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks
Damaged P' e7"
�1
Transition
4" to 6" Transition:
White Copy: Property Owner
Total
'i•CLi'o,
Time • pm
Record Number
Time
O
am
• 1
T7 pm
Street Name _ f r. • () , / \/ ' 11) v
Phone ( i' / 7a (
OwnerlOccupant Signature
Inspector Signature
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Correctly
Length of Service:
Number Discharged
Incorrectly Unknown
Yellow Copy: City of Eagan
Obstruction
Unable to push past
feet
Entered S L. at 2
;i
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
�..
Not s
r
i/ 1 :.?. -7
Pink Copy: SEH