3738 Windtree Dr - Inspection FormSump pumps
Foundation drains
Roof drains
..,--
1
4 11. City of liago
• Residential Sanitary Sewer Service
Compliance Inspection
Date J 1 )(
Name
• /---1 -
Compliance
No foundation drain connection
q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
/Sag)Pipe Deflection
Damaged Pipe
Transition
4" to 6"Transition:
White Copy: Proper ty Owner
•
Total
r am
Tmet /61 pm
Disk #
PID Number
House Number , / ) Street Name
• .......
Alternative Mailing Address
r i ij
1
Owner/Occupant Signature
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Correctly
Number of stacks /
7r
,)1
Length of sprooe:
Afk
Number Discharged
I ncorrectly
Unknown
Yellow Copy: City of Eagan
)
Record Number
.(2 ft-72
Phone • 2 .1 •
Obstruction
Unable to push past
feet
Entered S L. at -----
1 Cleanout: 7 •fv.....„/
•
Notes
/2) +- dd 6.1,
k2c4d,f/ -4t1;
Time •
)
Inspector Signature
No Access
No one in
O Access to service
lateral needed
am
cr pm
O Inspection
refused
Pink Copy: SEH