3640 Windtree Dr - Inspection Form■",
Citypfliaga
IR.tesicileratia.1 Sanitary .Sewer Service.
Compliance Inspection
Date
Name
PID Number
-.)
Rouse Number . " Street Name
Alternative Mailing Address
/-"1 /-\-
/ r
For information call 651 470 2788
ompliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
) - r7f
/
4" to 6" Transition:
Sump pumps
Roof drains
Foundation drains
i
Disk # - /-.`, )
/ i .1 ) ,
+ - —
Ownerlb cupant Signature
White Copy: Property Owner
• am
Time,-- • 0 prn
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
■1■1.=
Number of stacks
Number Discharged
Total Correctly Incorrectly Unknown
0 /-....' ''':. .6, i ? ) _ 1
-----
Yellow Copy: City of Eagan
Record Number
Time
Entered S L at
-- -Li
- TH.
Length of Service: j •
Notes
1
//
__-
inspector Signature
Obstruction
Unable to push past
feet
/ ,am
0 pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
7 -
•
Final Cleanout:
Pink Copy: SEH