4699 Penkwe Way - Inspection Form4 City of Ea pa
Residential Sanitary Sewer Service
Compliance Inspection
4 }} r f ✓ O am
Date ). 1 1 ! ( Time pm
Name d \v) 1 ' isk
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit nor connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Street Name
i3
Own r76ccu
Non - Compliant` ; ;,
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
Time
Phone ) ,2
inspector Signature
Obstruction
Unable to push past
feet.
Notes
'
O am
•
• O pm
Length of Service: Final Cleanout:
For information call 651.470.2788
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
Sag /Pipe Deflection
Damaged Pipe
Transition
1 rq
Pink Copy: SEH
Number
Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
I -
f t
fl
4 City of Ea pa
Residential Sanitary Sewer Service
Compliance Inspection
4 }} r f ✓ O am
Date ). 1 1 ! ( Time pm
Name d \v) 1 ' isk
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit nor connected to
sanitary sewer
Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Street Name
i3
Own r76ccu
Non - Compliant` ; ;,
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
Time
Phone ) ,2
inspector Signature
Obstruction
Unable to push past
feet.
Notes
'
O am
•
• O pm
Length of Service: Final Cleanout:
For information call 651.470.2788
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
Sag /Pipe Deflection
Damaged Pipe
Transition
1 rq
Pink Copy: SEH