3630 Windtree Dr - Inspection FormCi1 otIaa
Residential Sanitary Sewer Service.
Compliance Inspection
Date tV/ /2, /
N ame 77/',Y -
PIE) Number
House Number Y Street Name / j iDecr
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.47
Co pliance
7
No foundation drain connection
No roof drain connection
Sump pit noc connected to
sanitary sewer
, Sump pump properly piped
0 No sump pump
Time) , „eearn
• 0 pm
Disk #
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
Record Number
A-
Service Lateral Inspection Findings Number of stacks / Entered S L at
4" to 6" Transition:
White Copy: Propeity Owner
Length of Service:
///
Yellow Copy: City of Eagan
Phone - ) 6- (5:•":1
/
-
Time 07 ° il!apr'„,'
•
77 Inspector Signature
•
Obstruction No Access
Unable to push past 0 No one in
feet
Final Cleanout:
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
/
O Access to service
lateral needed
O Inspection
r efused
SPie;e7.
Pink Copy: SEH
Total
Notes
Number
Discharged
•
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
----
Roof drains
-- -
Ci1 otIaa
Residential Sanitary Sewer Service.
Compliance Inspection
Date tV/ /2, /
N ame 77/',Y -
PIE) Number
House Number Y Street Name / j iDecr
Alternative Mailing Address
OwnerlOccupant Signature
For information call 651.47
Co pliance
7
No foundation drain connection
No roof drain connection
Sump pit noc connected to
sanitary sewer
, Sump pump properly piped
0 No sump pump
Time) , „eearn
• 0 pm
Disk #
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
Record Number
A-
Service Lateral Inspection Findings Number of stacks / Entered S L at
4" to 6" Transition:
White Copy: Propeity Owner
Length of Service:
///
Yellow Copy: City of Eagan
Phone - ) 6- (5:•":1
/
-
Time 07 ° il!apr'„,'
•
77 Inspector Signature
•
Obstruction No Access
Unable to push past 0 No one in
feet
Final Cleanout:
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
/
O Access to service
lateral needed
O Inspection
r efused
SPie;e7.
Pink Copy: SEH