4708 Penkwe Cir - Inspection Form4 1 1' Residential Sanitary Sewer Service
Ci1y fir Eapau Compliance Inspection
am
Dated s / ✓ Time • a pm
Name .F
PID Number
House Number / i Street Name
Alternative Mailing Address
.Awner /Occupdnt Signature
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:
White Copy: Property Owner
Disk#71 ED—I Ti
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
O am
•
Time • • O pm
Phone ) ~`
For information call 651.470.2188
Obstruction
Unable to push past
feet
Signature r 4,r I .
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 Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
_ ri
--- f '' =f - r /
^T r'
�l "-
' 1
I = , �
.v
'-'! -
- 7 °° , =
�f ~
-, f
`%c_O %r _r _7—
7 /.. ,',, /.
r
'
Number
Discha
ged
Correctly
Incorrectly
Unknown
. Unk n
Sump pumps
w
L, G-
.n f
Z'Y -. ,d/
r
c.'
!e
j
Foundation drains
r
Roof drains
,
4 1 1' Residential Sanitary Sewer Service
Ci1y fir Eapau Compliance Inspection
am
Dated s / ✓ Time • a pm
Name .F
PID Number
House Number / i Street Name
Alternative Mailing Address
.Awner /Occupdnt Signature
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:
White Copy: Property Owner
Disk#71 ED—I Ti
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
O am
•
Time • • O pm
Phone ) ~`
For information call 651.470.2188
Obstruction
Unable to push past
feet
Signature r 4,r I .
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 Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH