661 Windtree Knoll - Inspection FormCity of Fa a
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name -
PID Number
Transition
I j; / J( )
4" to 6" Transition:
,. ,
;House Number • - )t22
Alternative Mailing Addr p ` 1
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4
t
White Copy: Property Owner
Time
Disk #
Street Name
ei /Occupant 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
Record Number
p,am
Time ,t • pm
Phone
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Service Lateral Inspection Findings Number of stacks 1 Entered S,L.at :: / - 77 -5
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I
Length of Service:
Final Cleanout: t � ;' /
•
Notes q
l iv)," /
;.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
MEI
Incorrectly
Unknown
Sump pumps
Foundation drains
.✓ )
Roof drains
(
City of Fa a
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name -
PID Number
Transition
I j; / J( )
4" to 6" Transition:
,. ,
;House Number • - )t22
Alternative Mailing Addr p ` 1
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
4
t
White Copy: Property Owner
Time
Disk #
Street Name
ei /Occupant 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
Record Number
p,am
Time ,t • pm
Phone
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Service Lateral Inspection Findings Number of stacks 1 Entered S,L.at :: / - 77 -5
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
I
Length of Service:
Final Cleanout: t � ;' /
•
Notes q
l iv)," /
;.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH