669 Windtree Knoll - Inspection FormfifEapn
Residential Sanitary Sewer Service
Compliance Inspection
Datec /
Namt
PID Number
4" to 6" Transition:
/31 1 7) ,. 1
House Number
Alternative Mailing Address
(
410
Compliance
1 9 i No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
(g) No sump pump
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
k c)f Disk #
A I is,„,,„,---
'&wnerlOccupant Signature
1 ' /L-1-
arrl
Time . p.
r
AMOR .
Service Lateral Inspection Findings Number of stacks
Street Name t
Phone
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
•
•
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Entered 5 L.at
#:3
Length of Service: —4,1-Final Ceanout: )
9 am
• pm
Inspector ignature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Pink Copy: SEH
.:,
Number
Correctly
Notes
Discharged 7)
Incorrectly Unknown ,111 _..,. - I i
—7 ,,,- - :-.
Total
Sump pumps
1 / 4, .....
11111111111
P i i‘
, Y2 -
''t '' --
Foundation drains
. —
Roof drains
rl
,-
fifEapn
Residential Sanitary Sewer Service
Compliance Inspection
Datec /
Namt
PID Number
4" to 6" Transition:
/31 1 7) ,. 1
House Number
Alternative Mailing Address
(
410
Compliance
1 9 i No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
(g) No sump pump
Sag/Pipe Deflection
Damaged Pipe
Transition
White Copy: Property Owner
k c)f Disk #
A I is,„,,„,---
'&wnerlOccupant Signature
1 ' /L-1-
arrl
Time . p.
r
AMOR .
Service Lateral Inspection Findings Number of stacks
Street Name t
Phone
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
•
•
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Entered 5 L.at
#:3
Length of Service: —4,1-Final Ceanout: )
9 am
• pm
Inspector ignature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor PipeJoints
Mineral Deposits
Pink Copy: SEH