3713 Windtree Dr - Inspection Form4111 City of Casa
Residential Sanitary Sewer Service
Compliance Inspection
•
d f � -p
1 . r i ! ' P
Date Time
P
Name ° - A/b 1 e
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
t
6 No roof drain connection
O Surnp pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition - J ,.
4" to,6, "Transition:
, � p .
/ y � ( F J ?.a,.,
Own erlOccupant Signature
White Copy: Property Owner
▪ Street Name
Disk #
Length of Service:
Record Number
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 %
Yellow Copy: City of Eagan
i �
/../,
'' s ,.
Phone
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L at
I •.
Time •
'"i spectvr
otes
p am
( pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
jinal Cleanout:
Pink Copy: SEH
Total
Number
Discharged
J
Correctly
Incorrectly
Unknown
Sump pumps
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.„
r
/ j
; fi r j 1.
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r
Foundation drains
1
A
Roof drains
4111 City of Casa
Residential Sanitary Sewer Service
Compliance Inspection
•
d f � -p
1 . r i ! ' P
Date Time
P
Name ° - A/b 1 e
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
t
6 No roof drain connection
O Surnp pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition - J ,.
4" to,6, "Transition:
, � p .
/ y � ( F J ?.a,.,
Own erlOccupant Signature
White Copy: Property Owner
▪ Street Name
Disk #
Length of Service:
Record Number
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 %
Yellow Copy: City of Eagan
i �
/../,
'' s ,.
Phone
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L at
I •.
Time •
'"i spectvr
otes
p am
( pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
jinal Cleanout:
Pink Copy: SEH