4611 Penkwe Way - Inspection FormCity of Eap
Residential Sanitary Sewer Service
Compliance Inspection
O'?17
Date
PID Number
House Number 1 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
am
Time • pm
Disk #
1/ .
Owner /Occupant Signature
For .information call 651 470.2788
Non - Compliance
0
0
0
0
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition -- .
O
EU
Phone
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks - Entered S L at
Record Number
4" to 6 "Transition:
White Copy: Property Owner
f Sera
Obstruction
L • ° �j ' p am
Time • pm
1
r
Unable to push past
feet
Inspector Signature
No Access
O No one in
Final Cleanout: ( i7
O Access to service
lateral needed
O Inspection
refused
Notes
4- / f
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
1
f
i
i
n i
c. /i..
Foundation drains
Roof drains
rf
City of Eap
Residential Sanitary Sewer Service
Compliance Inspection
O'?17
Date
PID Number
House Number 1 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
am
Time • pm
Disk #
1/ .
Owner /Occupant Signature
For .information call 651 470.2788
Non - Compliance
0
0
0
0
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition -- .
O
EU
Phone
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks - Entered S L at
Record Number
4" to 6 "Transition:
White Copy: Property Owner
f Sera
Obstruction
L • ° �j ' p am
Time • pm
1
r
Unable to push past
feet
Inspector Signature
No Access
O No one in
Final Cleanout: ( i7
O Access to service
lateral needed
O Inspection
refused
Notes
4- / f
Yellow Copy: City of Eagan Pink Copy: SEH