3658 Windtree Dr - Inspection Form" "
City of to ap
Residential Sanitary Sewer Service
Compliance inspection
Date
- F .�
P1D Number
House Number
Alternative Mailing Address
Com • liance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
) 1 !
L
L '
Service Lateral Inspection Findings
4" to 6" Transition: , :::?
White Copy: Property Owner
0 , a m
,lime � pm
! f'�
Street Name
OwnerlOccupant Sig nature
Non - Compliance
O
O
O
O
O
Phone"'` :?
For information call 651.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer'
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number _ f
me y •
e " -
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks Entered S L at
t Final Cleanout:
No Access
O No one in
o , am
pm
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition .�°- t .� 1 e -. 1 .� — � ' i / l,.: c: ?) y /'S .$ -,
Length of Service:
1
Notes
/
s
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump Pumps
(
' ^,,: - =, .
!
r
Foundation drains
° e
Roof drains
L...
" "
City of to ap
Residential Sanitary Sewer Service
Compliance inspection
Date
- F .�
P1D Number
House Number
Alternative Mailing Address
Com • liance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
) 1 !
L
L '
Service Lateral Inspection Findings
4" to 6" Transition: , :::?
White Copy: Property Owner
0 , a m
,lime � pm
! f'�
Street Name
OwnerlOccupant Sig nature
Non - Compliance
O
O
O
O
O
Phone"'` :?
For information call 651.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer'
Flexible sump pump piping
Yellow Copy: City of Eagan
Record Number _ f
me y •
e " -
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks Entered S L at
t Final Cleanout:
No Access
O No one in
o , am
pm
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition .�°- t .� 1 e -. 1 .� — � ' i / l,.: c: ?) y /'S .$ -,
Length of Service:
1
Notes
/
s
Pink Copy: SEH