4698 Penkwe Way - Inspection FormCi1 u1 F;aaan
Residential Sanitary Sewer Service
Compliance Inspection
Jri1 Date .t /
Name A1., ) )e f r " {- Disk #
PID Number
Compliance
O No foundation drain connection
O No roof drain connection
\I
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
`OwnerlOccupant Signature
! 4
J am
✓'b 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
Length of Service:
Yellow Copy: City of Eagan
Record Number 1
Time
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
i
House Number ,=W- / Street Name i �� ,� ;.i ,- )/) "' (�"'
} r7 )
Alternative Mailing Address Phone ,- I - r ?.. J 7
(;)
/A/le/fry
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
Pink Copy: SEH
Number
Correctly
Discharged
Notes
> r -, i J ' -..) .;'
1
i / j '-' ' .. ;r 7 !
I ✓` 't ' � c
Total
Incorrectly
Unknown
Sump pumps
,3 t
I ,,.
_� s }'1
i f. � ,
1 °.
,
Foundation drains
/
Roof drains
- �`
Ci1 u1 F;aaan
Residential Sanitary Sewer Service
Compliance Inspection
Jri1 Date .t /
Name A1., ) )e f r " {- Disk #
PID Number
Compliance
O No foundation drain connection
O No roof drain connection
\I
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
`OwnerlOccupant Signature
! 4
J am
✓'b 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
Length of Service:
Yellow Copy: City of Eagan
Record Number 1
Time
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
O am
•
• O pm
i
House Number ,=W- / Street Name i �� ,� ;.i ,- )/) "' (�"'
} r7 )
Alternative Mailing Address Phone ,- I - r ?.. J 7
(;)
/A/le/fry
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
Pink Copy: SEH