3634 Windtree Dr - Inspection Form 1411
City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 °' 4 g_ /C
Name .✓ 1Disk#
PID Number /� }
House Number treet Name
Alternative Mailing Address Phone l!;l
v i Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Joints
Mineral Deposits
aPipe Deflection d=
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
C/ O am
Time • X pm
Non- Compliance
Yellow Copy: City of Eagan`
Record Number '1
�r' Oam
•
[Time • r pm
Obstruction
Entered S L at
r:11)1
Inspector Signature
For information call 651.470.2788
O Clear water connections to Unable to push past
sanitary sewer feet.
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
„.ft
No Access
O No one in
O Access to service
Lateral needed
O Inspection
refused
/1
Length of Service: ▪ - fP Final Cleanout: c •
Pink Copy: SEH
Total
Note
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
1
Foundation drains
Roof drains
411
City of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 °' 4 g_ /C
Name .✓ 1Disk#
PID Number /� }
House Number treet Name
Alternative Mailing Address Phone l!;l
v i Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks
Roots
Poor Joints
Mineral Deposits
aPipe Deflection d=
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
C/ O am
Time • X pm
Non- Compliance
Yellow Copy: City of Eagan`
Record Number '1
�r' Oam
•
[Time • r pm
Obstruction
Entered S L at
r:11)1
Inspector Signature
For information call 651.470.2788
O Clear water connections to Unable to push past
sanitary sewer feet.
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
„.ft
No Access
O No one in
O Access to service
Lateral needed
O Inspection
refused
/1
Length of Service: ▪ - fP Final Cleanout: c •
Pink Copy: SEH