4880 Windsor Ct - Inspection Form
Residential Sanitary Sewer Service
! aIr compliance Inspection
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Date01 L_'-/0 Time f J so - p pm Record Number r
~ m
Name;-'~~~ Disk f Time ~fti O pm
PID Number
'!ff~ fiv"✓~ryi~FC
House Number Street Name
Alternative Mailing Address Phone.
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OwnerlOccupant Signature Inspector Signature
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ation call 651.470.2788
For inform
Compliance Non-Compliance Obstruction No Access
bJNo foundation drain connection O Clear water, connections to Unable to push past O No one in
sanitary sewer feet.,
No roof drain connection O Access to service
O Service lateral defects lateral needed
r~ Sump pit not connected to p Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
M No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks.Y/'~c~-/,`Entered S.L,at ` U- '
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
i
~ jj
Length of Service: X Fi al Cleanout:
4" to 6" Transition:
7A
v'G / J
Notes
Number Discharged
Total Correctly Incorrectly Unknown
Sump pumps f -
Foundation drains ( ~um_m -
Roof drains i✓ _
White Copy: Pioperty Ownet Yellow Copy: City of Eagan Pink Copy: SEH