4694 Penkwe Way - Inspection Form4 11. Ca3 of ha
Residential Sanitary Sewer Service
Compliance Inspection
cl am
Date r` , <..tilf Time • pm
i 'I
Name 1 ,1 ' # - 3 / i Disk#
PID Number
House Number ° 7 "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
4" to 6"Transition:
White Copy: Property Owner
Owner /Occupant Signature
m
's t
�. LL
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Phone
Time
Obstruction
Unable to push past
feet
• O am
• O P
Inspector Signature
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
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Total
Sump pumps
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Foundation drains
--
Roof drains
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4 11. Ca3 of ha
Residential Sanitary Sewer Service
Compliance Inspection
cl am
Date r` , <..tilf Time • pm
i 'I
Name 1 ,1 ' # - 3 / i Disk#
PID Number
House Number ° 7 "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
4" to 6"Transition:
White Copy: Property Owner
Owner /Occupant Signature
m
's t
�. LL
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
Phone
Time
Obstruction
Unable to push past
feet
• O am
• O P
Inspector Signature
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Pink Copy: SEH