3749 Windtree Dr - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
Date -4W/ ? / /;:
Name L`,vtD l J Disk#
RID Number
Street Name
House Number " 1Y
Alternative Mailing Address
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
J ! • i.� O am
Time f ! • ' p -Pm
OwnerlOccupant Sigpt re
Compliance
No foundation drain connection
Non - Compliance
O
O
0
r"C
0
;i✓
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Fagan
Record Number 4 s
Obstruction
Unable to push past
feet
Time
•
Phone r . -c^2 ',j
j 3 /
(/ Inspector Signature
o am
o°pm
For information call 651.470.2788
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 (�'(`" r,�€o.t'g 7
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
.
Transition s rr, a
Final Cleanoyt: / _.
,`=r41. V , I. r o 1
Pink Copy: SEH
Notes '' " 9- r • '' -1. �-
/tv 2cs /1 ,-��,))„r, - ``.
,
1? � ' �
f
5COTJ W r 1 1 d ro p
mg -0`' PW-0 Cb
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
t %
I.
- "_°
y
F '',..
MI
Foundation drains
Roof drains
—__
Residential Sanitary Sewer Service
Compliance Inspection
Date -4W/ ? / /;:
Name L`,vtD l J Disk#
RID Number
Street Name
House Number " 1Y
Alternative Mailing Address
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
White Copy: Property Owner
J ! • i.� O am
Time f ! • ' p -Pm
OwnerlOccupant Sigpt re
Compliance
No foundation drain connection
Non - Compliance
O
O
0
r"C
0
;i✓
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
Yellow Copy: City of Fagan
Record Number 4 s
Obstruction
Unable to push past
feet
Time
•
Phone r . -c^2 ',j
j 3 /
(/ Inspector Signature
o am
o°pm
For information call 651.470.2788
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 (�'(`" r,�€o.t'g 7
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
.
Transition s rr, a
Final Cleanoyt: / _.
,`=r41. V , I. r o 1
Pink Copy: SEH