3757 Windtree Dr - Inspection FormCity ) of Ea
Residential Sanitary Sewer Service
Compliance Inspection
Name
PID Number
House Number , , ` / Street Name
Alternative Mailing Address
Owrj rIOccupant Signature
Compliance
WI No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
,7;; .1
Service Lateral Inspection Findings
4" to 6" Transition:
r:
White Copy: Proper ty Ownei
".• _✓ am
Time .. pm
•
f
Length of Service:
Record Number
Time
Phone
Obstruction
Unable to push past
feet.
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 1 Entered S L at
Notes
C...' 9 a
p
? p
Inspector Signature
For information call 651.470.2788
No Access
O No one in
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
r ) 1 )
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sum pumps
z
7,
./ V , rw- ."
` i '
Foundation drains
Roof drains
City ) of Ea
Residential Sanitary Sewer Service
Compliance Inspection
Name
PID Number
House Number , , ` / Street Name
Alternative Mailing Address
Owrj rIOccupant Signature
Compliance
WI No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
,7;; .1
Service Lateral Inspection Findings
4" to 6" Transition:
r:
White Copy: Proper ty Ownei
".• _✓ am
Time .. pm
•
f
Length of Service:
Record Number
Time
Phone
Obstruction
Unable to push past
feet.
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 1 Entered S L at
Notes
C...' 9 a
p
? p
Inspector Signature
For information call 651.470.2788
No Access
O No one in
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
r ) 1 )
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH
Residential Sanitary; Sewer Service
Compliance inspection
f f
Date 09/ v l / /C
Name /1J :1 °`%� j "' # � ll-
MD Number
House Number
Alternative Mailing Address
17j Street Name
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
• d am
Time •C p pm
Non - Compliance
'2
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
1
rs-
Ph ?nr
I
For information call 651:470 2788
- Obstruction
O Clear water connections to` - .,�
N otes5
Time
,_fpspector Signature
Unable to push past
feet
Entered 5 L: at
: z
1
.11
1 ,C1
s
F
•
•
Final Cleanout:
r;
4'
J
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
Residential Sanitary; Sewer Service
Compliance inspection
f f
Date 09/ v l / /C
Name /1J :1 °`%� j "' # � ll-
MD Number
House Number
Alternative Mailing Address
17j Street Name
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
• d am
Time •C p pm
Non - Compliance
'2
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number
1
rs-
Ph ?nr
I
For information call 651:470 2788
- Obstruction
O Clear water connections to` - .,�
N otes5
Time
,_fpspector Signature
Unable to push past
feet
Entered 5 L: at
: z
1
.11
1 ,C1
s
F
•
•
Final Cleanout:
r;
4'
J
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH