3774 Windtree Dr - Inspection Form111 City or hp
Residential Sanitary Sewer Service
Compliance Inspection
Date (X/ / ? 7 1 l
Name r �F` 1i3O4( 4 fry
PID Number
House Number
5 7 2
Alter native Mailing Address
�.d ✓!•r>✓ fi . ✓' ✓„,t' - d`� dd! .r�
y OrwnerlOccupant'grgnature
Compliance
O., No foundation drain connection
y r No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O c No sump pump
Roots
4" to 6 "Transition:
White Copy: Pr operty Owner
•
Time r'.9
Disk #
o am
Cr pm
Street Name it d��rrl7
Yellow Copy: City of Eagan
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
Record Number --7,`7 F
Time V 7 • 4 o pm
Ph ne
Obstruction
Unable to push past
feet
ector Signature
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks, Entered S L at 'rC c
Art'
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /
Transition a inl f�'f 5 � f
Length of Service: 71
Fin I Cleanout: 2
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes ,
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Of
- _____ .1111 .
-
Foundation drains
Roof drains
w`
111 City or hp
Residential Sanitary Sewer Service
Compliance Inspection
Date (X/ / ? 7 1 l
Name r �F` 1i3O4( 4 fry
PID Number
House Number
5 7 2
Alter native Mailing Address
�.d ✓!•r>✓ fi . ✓' ✓„,t' - d`� dd! .r�
y OrwnerlOccupant'grgnature
Compliance
O., No foundation drain connection
y r No roof drain connection
O Sump pic not connected to
sanitary sewer
O Sump pump properly piped
O c No sump pump
Roots
4" to 6 "Transition:
White Copy: Pr operty Owner
•
Time r'.9
Disk #
o am
Cr pm
Street Name it d��rrl7
Yellow Copy: City of Eagan
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
Record Number --7,`7 F
Time V 7 • 4 o pm
Ph ne
Obstruction
Unable to push past
feet
ector Signature
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks, Entered S L at 'rC c
Art'
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /
Transition a inl f�'f 5 � f
Length of Service: 71
Fin I Cleanout: 2
No Access
0 No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH