4712 Penkwe Cir - Inspection FormCity of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date -7-1/
( EL]
Name Disk # ."' r
77'
Ow Signature
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
Service Lateral inspection Findings
4" to 6" Transition:
White Copy: Pi opel ty Owner
• 06, cyan,
Time • /0 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 Entered S L at
Length of Service:
Yellow Copy: City of Eagan
1
Record Number
Time
0 aril
•
• 0 Pm
MD Number
House Number
) . Street Name
Alternativ,e,,MailingAddress Phone 2
I „)
Inspector Signature ,\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
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
D
Incorrectly
Unknown
Notes
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Total
Sump pumps
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irtv 14
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.
/
Foundation drains
Roof drains
City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date -7-1/
( EL]
Name Disk # ."' r
77'
Ow Signature
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
Service Lateral inspection Findings
4" to 6" Transition:
White Copy: Pi opel ty Owner
• 06, cyan,
Time • /0 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 Entered S L at
Length of Service:
Yellow Copy: City of Eagan
1
Record Number
Time
0 aril
•
• 0 Pm
MD Number
House Number
) . Street Name
Alternativ,e,,MailingAddress Phone 2
I „)
Inspector Signature ,\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
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH