3682 Windtree Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
Date. 1 I .. /
1
Name 7.?
r
PID Number
House Number
Alternative Mailing Address__
Compliance
0 No foundation drain connection
No roof drain connection
tilt Sump pit not connected to
sanitary sewer
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! Sump pump properly piped
0 No sump pump
/ L.
White Copy: Property Owner
I %) • %C' Q am
1
Time lit • r pm
Disk #
Street Name
OwnerlOccupant Signature
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Z 1/
Damaged Pipe
Transition
Total
f i )
/
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
Number of stacks
Length of Service:
4" to 6" Transition:
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number r
)
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S L at
)
Phone
am
•
Time > / • o pm
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes
/ i- , ''1` Vii) L='' . 7 1,
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Pink Copy: SEH