4693 Penkwe Way - Inspection Form41. City of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date I � � yd . I '
Name !' {7 i
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
4 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
Time. •
Disk #W
PID Number
Street Name
Owner /Occripant Signature
0 a
pm
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
•
•
Phone ic
Entered S L.at
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
0 pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Total
Notes )
, .>
f
)'
_ - •
-2,----, '
r
c / �; ,
7- 2/+1
_
--,-..'
''
- :5 -- 07'p
% :°
r:,
Number
Discharged
Correctl Y
Incorrectly
Y
Unknown
Sump pumps
r � ✓
�+ Y�
2,.--/l,
Foundation drains
Roof drains
41. City of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date I � � yd . I '
Name !' {7 i
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
4 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
4" to 6 "Transition:
White Copy: Property Owner
Time. •
Disk #W
PID Number
Street Name
Owner /Occripant Signature
0 a
pm
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
•
•
Phone ic
Entered S L.at
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
0 pm
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH