3710 Windtree Dr - Inspection FormCity of lia an
Residential :Sanitary Sewer Service
Compliance Inspection
Date 1. / ,ICJ
r - i
Compliance
No foundation drain connection
8 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time ./ ;i
d
Name mi l ., #, %�� �°i° ' Disk #
Alternative MailingAddress
i , !1 J \; \ice^'
OwnelOccupant Signature
O
O
O
O
O
PID Number _
9
Phone / 7 L_.3 1 — r >(
am
o pm
For information call 651 470.2788
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Record Number
r'l
Time /L,/. O pm
Obstruction
Unable to push past
feet
Entered S.L.at
r, Final Cleanout:
N otes
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Yellow Copy: City of Fagan Pink Copy SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
j`
Foundation drains
Roof drains
City of lia an
Residential :Sanitary Sewer Service
Compliance Inspection
Date 1. / ,ICJ
r - i
Compliance
No foundation drain connection
8 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time ./ ;i
d
Name mi l ., #, %�� �°i° ' Disk #
Alternative MailingAddress
i , !1 J \; \ice^'
OwnelOccupant Signature
O
O
O
O
O
PID Number _
9
Phone / 7 L_.3 1 — r >(
am
o pm
For information call 651 470.2788
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Record Number
r'l
Time /L,/. O pm
Obstruction
Unable to push past
feet
Entered S.L.at
r, Final Cleanout:
N otes
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Yellow Copy: City of Fagan Pink Copy SEH