3651 Windtree Ct - Inspection FormCiti of boo
Residential Sanitary Sewer Service
Compliance Inspection
�4
Date` 1 /7 I %'
Compliance
O No foundation drain connection
No roof drain connection
/Sump pit not connected to
sanitary sewer
O Sump pump properly piped
' No sump pump
Time
Name %7G /1/ r
PID Number
House Number Z- Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Non
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
f
Disk #
O
O
O
O
O
•�s� m
• O pro
- Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
�1
Record Number
Time
` 3 _�
Phone
For information call 651.47
Obstruction
Unable to push past
feet
Inspe Signature
am
0 Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Entered S.L at
'Tfr
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Final Cleanout: VV
Pink Copy: SEH
1
/
` ,l
Notes -- /
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'f!� .1% -Tr•
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' f ° Y' �, t r- . ! t
Number
Correctly
... - •--- --...r
Discharged
Incorrectly
�� '._
Unknown
Total
Sump pumps
Foundation drains
Roof drains
._ _ -, -
--
____— .__...
Citi of boo
Residential Sanitary Sewer Service
Compliance Inspection
�4
Date` 1 /7 I %'
Compliance
O No foundation drain connection
No roof drain connection
/Sump pit not connected to
sanitary sewer
O Sump pump properly piped
' No sump pump
Time
Name %7G /1/ r
PID Number
House Number Z- Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Non
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
f
Disk #
O
O
O
O
O
•�s� m
• O pro
- Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
�1
Record Number
Time
` 3 _�
Phone
For information call 651.47
Obstruction
Unable to push past
feet
Inspe Signature
am
0 Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
Entered S.L at
'Tfr
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Final Cleanout: VV
Pink Copy: SEH