677 Windtree Knoll - Inspection Form41 11111111 0 .
City at Faaa
Reside
Date
/ Time
Name )
PID Number
(
House Number
Alternative Mailing Address
'2
-V dwneflifreC Sign*ure
Sump pumps
Roof drains
4" to 6" Transitio :
Foundation drains
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots
Poor Pi J ints
Mineral posits
/ _
' Sa0Pipe Deflection
Damaged Pipe
White Copy: Property Owner
Total
Disk #
Street Name
Correctly
Incorrectly
Record Number i
j
•
• I)I
Phone=
Inspector Signature
For information call 651.470.2788
Obstruction
Non-Compliance
O Clear water connections to
sanitary sewer
6 Service lateral defects
O Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks Entered S. L at
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/.1
er--
i f3
■7.)/117
_F
-/ -; ---
_L. I ' / r
- /
Transition
i
'''' ,
/ , .. ,- /- 1 ‹ . - `7 74 7'? ; _..
/27'7
Length of Ser vice:
Number Discharged
Unknown
Yellow C47: City of Eagan
Final Cleanout:
Notes
zn /
T7)
Pink Copy: SEH
Sump pumps f
f
Foundation drains 7
7 �
�)
Roof drains ;
;(:
or tapao
Residential Sanitary Sewer Service
Compliance Inspection
hate 1 / /' /
Name
j Disk #
PID Number
House Number Street Name 2./2
Alternative Mailin Address
OwIle 1 upant Sigh
For information call 65I 4702788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to b" Transitio
White Copy: Property Owner
Service Lateral Inspection Findings
Roots
Poor Pi J ints
Mineral posits
/ ),
S Pipe Deflection
Damaged Pipe
3
Transition
Time 1
am
Pm
Non- Compliance
0 Clear water connections to
sanitary sewer
Service lateral defects
O, Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks Entered S L at
r
Length of Service: ;? . Final Cleanout:
Number Discharged
Total Correctly Incorrectly Unknown
Yellow Copy: City of Fagan
Record Number
Phone ' ° f. J.
�rl
Obstruction
Unable to push past
feet.
z-.
..'..-. %o am
•
• T pm
Inspector Signature
No Access
O No one in
7
O Access to service
lateral needed
O Inspection
refused
Notes ,
t`/ i #'`./7J _ -)y') r:'sC i ?
Pink Copy: SEH