3664 Windtree Dr - Inspection Form 1.. _
Number
Correctly
Discharged
Incorrectly Unknown
N otes
<1. 1 /(/ / )(7 - == f ' / _- „,- - 2?
-1' , , /.. 7 �_ ^ f f
f f , % '” i f s X67 /
Lit j ;t %'�G� -mo d "R` r {/ ' ...- ✓ ''' as
_ , °`
f i r � .' -� c ! - J � t A % " i : _ `/ 0 (22/ 5
' - /I ° i»- l
Total
Sump pumps
®-
Foundation drains
Roof drains
j
41 ' City fir boa
Y � s
Residential Sanitary Sewer Service
Compliance Inspection
Date /1
Name f "!,9 a6l/ Disk #
PID Number
House Number
Alte rna
ve MailingAddress
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
5 r
sanitary sewer
Sump pump properly piped
0 No sump pump
4" to 6" Transition:
White Copy: Property Owner
�• ``OOam
Time e__ � pm
!.../
Gi C-. 1- Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
Transition 44--
Non - Compliance
O Clean water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer.
O Flexible sump pump piping
Length of Service: A
Yellow Cop} City of Eagan
Record Number
) ,-/77 -/ � f
Phone
Time
•
T3 J 6 7q
inspector Signature
• . �90 am
pm
For information call 651.470.2788
Obstruction
Linable to push past
feet
/1
Number of stacks ,r�; ▪ Entered S,L.at *r<
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
i ,
0 Final Cleanout:
Pink Copy: SEM