3746 Windtree Dr - Inspection FormCity 61 ` ,a o
Residential Sanitary Sewer Service
Compliance Inspection
Date rri / Z 1.
Name 2 "ft'
PID Number
House Number _' :.<;< Street Name
Alternative Mailing Address
For information call 6S1.470.2788
Compliance
O'No foundation drain connection
i "No roof drain connection
, Sump pit not connected to
1 sanitary sewer
O Sump pump properly piped
No sump pump
Roots
Service Lateral Inspection Findings
Poor.PipeJoints
Mineral Deposits
Sag /Pipe Deflection S 40
/
Damaged Pipe
Transition L f ` 2 'Ai I c
4" to 6 "Transition: fV A
White Copy: Property Owner
• O am
Time f v c2 c,
Disk #
Ownerdecupant Signature
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
Number of stacks
_ 12-12i _ Q
J
Length of Service:
Yellow Copy: City of Eagan
Record Number
Ofr
Phone
r ) l
1
Time
Entered S L at
fiispectar Signature
Obstruction
Unable to push past
feet
® "� O am
Final Cleanout:
,
a /c ✓Wr
7_ f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SFH
Number
Cor rectly
Discharged
Notes
Total
Incorrectly
Unknown
Sump pumps
—...-e
_.
�,._.-
Foundation drains
-
—" "" __—_—
Roof drains
l
City 61 ` ,a o
Residential Sanitary Sewer Service
Compliance Inspection
Date rri / Z 1.
Name 2 "ft'
PID Number
House Number _' :.<;< Street Name
Alternative Mailing Address
For information call 6S1.470.2788
Compliance
O'No foundation drain connection
i "No roof drain connection
, Sump pit not connected to
1 sanitary sewer
O Sump pump properly piped
No sump pump
Roots
Service Lateral Inspection Findings
Poor.PipeJoints
Mineral Deposits
Sag /Pipe Deflection S 40
/
Damaged Pipe
Transition L f ` 2 'Ai I c
4" to 6 "Transition: fV A
White Copy: Property Owner
• O am
Time f v c2 c,
Disk #
Ownerdecupant Signature
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
Number of stacks
_ 12-12i _ Q
J
Length of Service:
Yellow Copy: City of Eagan
Record Number
Ofr
Phone
r ) l
1
Time
Entered S L at
fiispectar Signature
Obstruction
Unable to push past
feet
® "� O am
Final Cleanout:
,
a /c ✓Wr
7_ f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SFH