4646 1_2 Penkwe Way - Inspection FormsSump pumps
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Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
Compliance inspection
Date
Name ) \, a r/? r7
PO Number
House Number
f
i
Compliance
o foundation drain connection
4 o to roof drain connection
OASump pit not connected to
" sanitary sewer
O Sump pump properly piped
O No sump pump
Roots
Poor Pipe joints
Mineral Deposits
f
4" to 6" Transition:
SaglPipe Deflection
Damaged Pipe
Transition
. 7 4 7
White Copy: Propei ty Owner
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Time
1�y
Disk #
(`) , Stl eet Name
Alternative Mailing Address
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0 ner/ ccrlp'n('Signa e r/
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-ED-F13:
Record Number
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Phone
Inspector Signature
For information call 65 1.470.2788
Service Lateral Inspection Findings
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
Obstruction
Unable to push past
feet
i
Number of stacks Entered S.L.at
Number Discharged
Total Correctly Incorrectly Unknown
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Length-of el 7
s � t
Notes
(4 1
Final Cleanout:
0 am
o m
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Sump pumps
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O
c.
y
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Foundation drains
/
f 1
Roof drains
i1,y oI't4 11
Residential Sanitary Sewer Service
Compliance inspection
Date
Name )
DL5k #
i)
PO Number
House Number
Alternative Mailing Address
0 ner/ ccrlp'n('S
f
i
f
For information call 65 1.470.2788
Compliance
o foundation drain connection
4 o to roof drain connection
OOSump pit not connected to
" sanitary sewer
O Sump pump properly piped
O No sump pump
2
4" to 6" Transition:
White Copy: Propel ty Owner
/' 71
(`; n S tl eet Name
Service Lateral Inspection Findings
Time
m
-ED-F13:
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
i
Number of stacks Entered S.L.at
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition .�
l a
/ t,1.� i, 1A,/.(<1
,ice
Phone 774 (�
/' i ` L ✓'ri �J � ) !�
Lerrgth-of e
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
me
Inspector Signature
Obstruction
Unable to push past
feet
Notes
Final Cleanout:
0 am
o m
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH