3718 Windtree Dr - Inspection FormCity of tap°
Residential Sanitary Sewer Service
Compliance inspection
Date / / 1 /0
Name
PID Number
House Number
Alternative Mailing Address
r .
Roots
Poor Pipe Joints
Mineral Deposits
16v / Ai
Compliance
Or'-'No foundation drain connection
O No roof drain connection
t
b pit not connected to
sanitary sewer
0 Sump pump properly piped
ir;CS No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
Transition - t?t f '•%
4" to 6 "Transition: AtA
White Copy: Property Owner
1/ • ...q
Time •`) -" $Pm
Disk ti
I
OwnerlOccupant .Signature
Street Name */to
Number of stacks
LilJ- [J12]
I - cone A
t r
1
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
Length of Service: ' j
Yellow Copy: City of Eagan
Record Number
•.. o
Time '
•
Obstruction
Unable to push past
feet
/ /Inspector Signature
,e-t) am
0 Pm
Entered SLat ;��'.
For information call 651.470.2788
No Access
O No one in
O Access to ser vice
lateral needed
O Inspection
r efused
Final Cleanout:
Pink Copy: SFH
Number
Correctly
Discharged -- z ,. � ;,; /.
Total
Incorrectly
Unknown
/../../_-,
r
/ ) j�g ✓ / � ^F/
L
S ump pumps
_�-
_�
_,_m..
_._.
Foundation drains
, . �_-
Roof drains
!,
City of tap°
Residential Sanitary Sewer Service
Compliance inspection
Date / / 1 /0
Name
PID Number
House Number
Alternative Mailing Address
r .
Roots
Poor Pipe Joints
Mineral Deposits
16v / Ai
Compliance
Or'-'No foundation drain connection
O No roof drain connection
t
b pit not connected to
sanitary sewer
0 Sump pump properly piped
ir;CS No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
Transition - t?t f '•%
4" to 6 "Transition: AtA
White Copy: Property Owner
1/ • ...q
Time •`) -" $Pm
Disk ti
I
OwnerlOccupant .Signature
Street Name */to
Number of stacks
LilJ- [J12]
I - cone A
t r
1
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
Length of Service: ' j
Yellow Copy: City of Eagan
Record Number
•.. o
Time '
•
Obstruction
Unable to push past
feet
/ /Inspector Signature
,e-t) am
0 Pm
Entered SLat ;��'.
For information call 651.470.2788
No Access
O No one in
O Access to ser vice
lateral needed
O Inspection
r efused
Final Cleanout:
Pink Copy: SFH