3782 Windtree Dr - Inspection FormSump pumps
Foundation drains
Roof drains'
ail
Residential Sanitary Sewer Service
Compliance Inspection
Datet , 1 / `� /
Name ��
�
MD Number
-7
House Number
Alternative Mailing Address
4" to 6" Transition:
pliance
C�C�CmeryCifln --
, No roof drain connection
SD Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
F AO No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
Time ° • o p
Disk #
Street Name
Owner /Occupant Signature
For information call 651A70.2788
',
Sag /Pipe Deflection /: f — ? ) >
Damaged Pipe /.
/ /. , ' // r
Transition 4-r''''' 1 `/ � ` 's ' <
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
Total Correctly
9, am
-L
I
Number of stacks
Length of Service:
,
Number Discharged
Incorrectly Unknown
� J
Record Number
0
62)
Pholre
c
Time
a
fniPector Signature
Obstruction
Unable to push past
feet,
Entered S L at "''
Notes Z'f >: .,,.,
C o am
416 Pm
No Access
O No one in
Final Clear out: .•
O Access to service
lateral needed
O inspection
r efused
Roots
Poor PipeJoints
Mineral Deposits
1'
J j` r y ,' " r s r
Yellow Copy; City of Eagan Pink Copy: SEH