4886 Windsor Ct - Inspection FormCity of taro
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name 1
PID Number
House Number
Alternative Mailing Address
f
Time
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
l ')
4-f y_ °` Disk #
6 1
Service Lateral Inspection Findings
Mineral Deposits
Street Name
OwnerlOccupant Signature
)7 . t t I e
Sag /Pipe Deflection %:
Damaged Pipe
Transition
4" to 6" Transition:
•
White Copy: Property Owner
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
am
Pm
4
Yellow Copy: City of Eagan
Record Number 1
Time
,( am
0 pm
Phone /5;7_ _ 2 f')
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Number of stacks J Entered S L at�'�
1
Length of Service: , �•. Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipejoints
Pink Copy: SEH
Number
Correctly
Discharged .
Incorrectly Unknown
Notes "
/
; -7 7 0 - .� -;
1
0 �
'
Total
Sump pumps
C Gt
r
Foundation drains
Roof drains
City of taro
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name 1
PID Number
House Number
Alternative Mailing Address
f
Time
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
l ')
4-f y_ °` Disk #
6 1
Service Lateral Inspection Findings
Mineral Deposits
Street Name
OwnerlOccupant Signature
)7 . t t I e
Sag /Pipe Deflection %:
Damaged Pipe
Transition
4" to 6" Transition:
•
White Copy: Property Owner
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
am
Pm
4
Yellow Copy: City of Eagan
Record Number 1
Time
,( am
0 pm
Phone /5;7_ _ 2 f')
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Number of stacks J Entered S L at�'�
1
Length of Service: , �•. Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipejoints
Pink Copy: SEH