4667 Penkwe Way - Inspection Formr'
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
,... - ,. ,,- ,,y1,4 ,� l :;/).....-7'.
Total
Sump pumps
f _
...
',..,
Foundation drains
-- i `, j �.. , t
), il e : , : 1 ) .. :i 1
Roof drains
� �
✓
1 F !" c�'.:1 ? o l ,: �.. - -4-,-,---?
. 1 j
"?-,,1
�. 'lS _.ter ._. f v .,.,.. - L_/
41*
City of ha as
Residential Sanitary Sewer Service
Compliance Inspection
Date / 11 / 1 7'?
Name r r ' 3�'r` Disk#
h llleisr - A ... J -
Owner /Occupant Signature
/jam✓ , am
Time ' p
PID Number
House Number ,2-4 Street Name
Compliance
O No foundation drain connection
O No roof drain connection
'd Sump pit not connected to
' sanitary sewer
O Sump pump properly piped
O No sump pump
LL]- rii
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
t
. Flexible sump pump piping
Record Number
Alternative Mailing Address Phone 6°7 ...:
Time • o p rn
For information call 651.470.2788
Obstruction
Unable to push past
feet
Inspector Signature '� J
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
1
Length' of Service:
Yellow Copy: City of Eagan
1
Final Cleanout:
Pink Copy: SEH