3643 Windtree Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
`Cit of Ea re
City � a
Residential Sanitary Sewer Service
Compliance Inspection
Date I /,:,`, 1 J'r
N "'
House Number
PID Number
,T A
- J Street Name A _ 3 d , '
Alternative Mailing Address
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
ss
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks Y
1= ntered St at = ;
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ;
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time
Total
Disk #
Owner /Occupant Signature
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 Discharged
Correctly
of am
0 pm
..11•10
Phone
Incorrectly
Length of Service:
Jr'
Unknown
"�1 i 1
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet
_<. •
ir • pm
1
19 Li
Final Cleanout:
Notes f�
�✓ i _':.
!f rs
ij 0 a
yr
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
4111111. City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date- o / / �✓
Name f,- 1 ... r''
PID Number
-7 i 7
House Number '--) (.,----> s `7 Street Name
Alternative Mailing Address
Sag /PirleDeflection
rn
Da aa�
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
Tim e__.I_ pm
Disk #
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
am
Non - Compliance
For information call 651.470.2788
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Roots
r - .
PoC4ipeJoints - . - ' , n 1 —
✓.. e�i,,�,m
Minert Cieposits��
Number of stacks Entered S L. at
Length of Service:
Yellow Copy: City of Eagan
Record Number
o am
•
Time • o pm
Phone ,
•
R.c-FJ� w;Y
lnspdctor Signature
Obstruction
i21
Final Cleanout:
No Access
O No one in
Access to service
lateraleeded
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
MEM
Foundation drains
---
11111
Roof drains
4111111. City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Date- o / / �✓
Name f,- 1 ... r''
PID Number
-7 i 7
House Number '--) (.,----> s `7 Street Name
Alternative Mailing Address
Sag /PirleDeflection
rn
Da aa�
Transition
4" to 6" Transition:
White Copy: Proper ty Owner
Tim e__.I_ pm
Disk #
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
am
Non - Compliance
For information call 651.470.2788
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Roots
r - .
PoC4ipeJoints - . - ' , n 1 —
✓.. e�i,,�,m
Minert Cieposits��
Number of stacks Entered S L. at
Length of Service:
Yellow Copy: City of Eagan
Record Number
o am
•
Time • o pm
Phone ,
•
R.c-FJ� w;Y
lnspdctor Signature
Obstruction
i21
Final Cleanout:
No Access
O No one in
Access to service
lateraleeded
O Inspection
refused
Pink Copy: SEH