4676 Penkwe Way - Inspection Form401. City of ha ap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name ?
i ! •;.. "t ,' A am
Time i�, • ,o pm
r1
; 7 Disk#
PID Number
House Number „A- "" v Street Name
Alternative Mailin Address
Owner /Occupant Signature
-m-
Record Number
Time
j ,.
Phone
insp Signature
• am
• O pm
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O, Defective manholes
p Sump pump connected to sanitary
sewer
O f=lexible sump pump piping
Length of Service:
Obstruction
Unable to push past
feet.
Final Cleanout:
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
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
N otes
1 1 , ;
1
r
a _
� r �
Total
Sump pumps
r
;=
Foundation drains
---
Roof drains
r
I rv..
./
401. City of ha ap
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name ?
i ! •;.. "t ,' A am
Time i�, • ,o pm
r1
; 7 Disk#
PID Number
House Number „A- "" v Street Name
Alternative Mailin Address
Owner /Occupant Signature
-m-
Record Number
Time
j ,.
Phone
insp Signature
• am
• O pm
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O, Defective manholes
p Sump pump connected to sanitary
sewer
O f=lexible sump pump piping
Length of Service:
Obstruction
Unable to push past
feet.
Final Cleanout:
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
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH