4684 Penkwe Way - Inspection FormCity of Ea u
Residential Sanitary Sewer Service
Compliance Inspection
Date /7 / 1 » / '/
4 . • Disk #
Name 1---1 jF- ;
PID Number
House Number L 3' i`'� Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
O No foundation drain connection
C No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
• ° am
•- /o pm
ELJ -fT_J
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
Length of Service:
Yellow Copy: City of Eagan
Record Number 1 4 )
Time
Phone -
0 a
O pm
Inspector Signature ) 1 'I j
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
SaglPi Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Notes
<L,.. -'t! ,.
. Z - i... -r 1i
),-
I + 1 /�,�
1 .
' i
' - 3,'
' � ✓ �-` e
�
C�_ i
n
,)
- "-°'
�W%'
=
�
Number
Discharged
Correctly
Incorrectly
t i � C -
� ._.
Unknown
/
Sump pumps
PP P
( Total
' - /
i '
Foundation drains
Roof drains
City of Ea u
Residential Sanitary Sewer Service
Compliance Inspection
Date /7 / 1 » / '/
4 . • Disk #
Name 1---1 jF- ;
PID Number
House Number L 3' i`'� Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
O No foundation drain connection
C No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
• ° am
•- /o pm
ELJ -fT_J
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
Length of Service:
Yellow Copy: City of Eagan
Record Number 1 4 )
Time
Phone -
0 a
O pm
Inspector Signature ) 1 'I j
For information call 651.470.2788
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
SaglPi Deflection
Damaged Pipe
Transition
Pink Copy: SEH