3652 Windtree Dr - Inspection FormCity of 1a as
Residential Sanitary Sewer Service
Compliance Inspection
Date 4l)J,il
Name
PID Number
House Number `m' �) , Street Name
Alternative Mailing Address
If ?mot /�iU'' . /' � �'
Owner /Occupant Signature
Compliance
No foundation drain connection
r .
No roof drain connection
it
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots •
PoorPipejoints / r .
Mineral Deposits
Sag /Pipe(b F ction
Damaged Pipe
4" to 6"Transition:
F l
White Copy: Property Owner
Time
Disk #
• (13 kam
• 'O Am
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
Transition r ? l
Length of Ser vice:
Number. of stacks r _ Entered 5.l.at
Yellow Copy: City of Eagan
Record Number
Phone
- - 2tYam
• P . J O
Time / • . m
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
: fi r '''✓
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
<-4, ,y
Final
Cleanout:
Notes
Pink Copy: SEH
Total
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
/,
Roof drains
,
City of 1a as
Residential Sanitary Sewer Service
Compliance Inspection
Date 4l)J,il
Name
PID Number
House Number `m' �) , Street Name
Alternative Mailing Address
If ?mot /�iU'' . /' � �'
Owner /Occupant Signature
Compliance
No foundation drain connection
r .
No roof drain connection
it
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
Roots •
PoorPipejoints / r .
Mineral Deposits
Sag /Pipe(b F ction
Damaged Pipe
4" to 6"Transition:
F l
White Copy: Property Owner
Time
Disk #
• (13 kam
• 'O Am
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
Transition r ? l
Length of Ser vice:
Number. of stacks r _ Entered 5.l.at
Yellow Copy: City of Eagan
Record Number
Phone
- - 2tYam
• P . J O
Time / • . m
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
: fi r '''✓
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
<-4, ,y
Final
Cleanout:
Notes
Pink Copy: SEH