3722 Windtree Dr - Inspection Form41111
City ol Ealan
Residential Sanitary Sewer Service
Compliance Inspection
Date /0 Time
Name _I 4V 44g,r71141/
House Number
MD Number
Z27,7
Disk #
/
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
• 0 Sump pump properly piped
ef No sump pump
Transition MI P
4" to 6" Transition:
,A 7 )4
White Copy: PT °perry Owner
Owner/Occupant Signature
07 3 2 ' -Vpmm
Street Name /
Alternative Mailing Address
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection 1-1 1 7 7
Damaged Pipe
Length of Service: -la
Yellow Copy: City of Fagan
Record Number
"S-arn
Time •
•
///7
Phone .f.e'2..„) /,
I •P •,/
Inspector Signature
For information call 651.470.2788
Obstruction
No Access
Unable to push past 0 No one in
feet
Entered S L at -.311C1 Co
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes t 9 .4. / .,4 ;?„,.. 7 , r y g /
• 1
i
b) it, N'
361 vii)
( -- ./ Qi----e-- -- / i c? -° g ..- -,,,,
Total
Sump pumps
<skj --,
Foundation drains
c.., kroj , 3,
,
MEI
',/
Roof drains
k-
41111
City ol Ealan
Residential Sanitary Sewer Service
Compliance Inspection
Date /0 Time
Name _I 4V 44g,r71141/
House Number
MD Number
Z27,7
Disk #
/
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
• 0 Sump pump properly piped
ef No sump pump
Transition MI P
4" to 6" Transition:
,A 7 )4
White Copy: PT °perry Owner
Owner/Occupant Signature
07 3 2 ' -Vpmm
Street Name /
Alternative Mailing Address
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
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection 1-1 1 7 7
Damaged Pipe
Length of Service: -la
Yellow Copy: City of Fagan
Record Number
"S-arn
Time •
•
///7
Phone .f.e'2..„) /,
I •P •,/
Inspector Signature
For information call 651.470.2788
Obstruction
No Access
Unable to push past 0 No one in
feet
Entered S L at -.311C1 Co
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:
Pink Copy: SEH