3709 Windtree Dr - Inspection Form4111111' C111
Residential Sanitary Sewer Service
Compliance Inspection
Date 0 / /% / )
-‘ 4
Name 4162
PID Number
House Number -.7 7
Alternative MailingAddress
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Owner/Occupant Signature
For informatiort call 551.470.2788
Compliance
0 No foundation drain connection
A O No roof drain connection
,0 pit not connected to
sanitary sewer
/0' Sump pump properly piped
0 No sump pump
Roots
4" to 6"Transition:
Sump pumps
Foundation drains
Roof drains
Service Lateral Inspection Findings
Poor Pipe Joints
Mineral Deposits
White Copy: Property Owner
Time Z.' • - 6
r Warn
,--- Disk #
Total
Street Name
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
Cot rectly
• Number of stacks Entered S 1_ at
Sag/Pipe Deflection e. -
Damaged Pipe
Transition
I
LiI-L Li
14unaber Discharged
incorrectly
Unknown
Yellow Copy: City of Eagan
Record Number
Length of Service: r
(
!7 r77
c
Time '
• - pin
)
jone //' ./
" I
/inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efdsed
Final Cleanout:
-Notes //rVEA-
Af1Y
/7/
/to — /-
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Pink Copy: SEH