3785 Windtree Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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.C.ity of Eapli
Residential Sanitary Sewer Service
Compliance Inspection
i4 5.
D a t e / �
Nam
r
PID Number
House Number
Alternative Mailing Address
Co
r
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 6 "Transition:
White Copy: Property Owner
Total
Time
pm
Disk #
7" ""' 1 . ;
, Name )/ 7
Owner /Occupant Signature
For information call 651.470.2788
Service Lateral Inspection Findings
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 of stacks 1 Entered S L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition (.-
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
d
1 --
Time / a
Inspector Signature
Notes
l
Phone-) �is'- > r f i
`
l
Obstruction
Unable to push past
feet,
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
= final Cleanout:°"`''''
gm
''mink Copy: SEH
City at bpi
Residential Sanitary Sewer Service
Compliance Inspection
Date •1 Time_'' 3 • -o pm
Harr t ! rv.! ? iDisk #
PID Number
1 ,
House Number :.:a'� Street Name
Alternative Mailing Address
j/
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
Transition
4" to 6 "Transition:
White Copy: Property Owner
OwnerlOccupant Signature
m -m
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Notes
Time
f
Inspector Signature
Final Cleanout:
Obstruction
Unable to push past
feet
• o am
• o pm
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
Poo Pip joints - s. - r y' � . .7. 1 >
f
Mine ��, / . - I' ▪ y �l� Y ' -.,, s . _, ;: Z„---:'-'.
Sag / p Deflection / %'� %, 2t / ' /. =;(j , J .f ~°, - ,' -�_ :}- - )...-- -- 7 ; 1/14 7
amaged Pipe I . __ J,,,, :7. f '� 2 r '. �� ' - �-- � �I� a.
.„--...< '% �/ ' , 21 -,� �" � . -°- - ..- y 1-
r /
No Access
O No one in
r
W Access to service
/° lateralede_
O Inspect €on` V/1
refused
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
---
Foundation drains
Roof drains
City at bpi
Residential Sanitary Sewer Service
Compliance Inspection
Date •1 Time_'' 3 • -o pm
Harr t ! rv.! ? iDisk #
PID Number
1 ,
House Number :.:a'� Street Name
Alternative Mailing Address
j/
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
Transition
4" to 6 "Transition:
White Copy: Property Owner
OwnerlOccupant Signature
m -m
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
Notes
Time
f
Inspector Signature
Final Cleanout:
Obstruction
Unable to push past
feet
• o am
• o pm
For information call 651.470.2788
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
Poo Pip joints - s. - r y' � . .7. 1 >
f
Mine ��, / . - I' ▪ y �l� Y ' -.,, s . _, ;: Z„---:'-'.
Sag / p Deflection / %'� %, 2t / ' /. =;(j , J .f ~°, - ,' -�_ :}- - )...-- -- 7 ; 1/14 7
amaged Pipe I . __ J,,,, :7. f '� 2 r '. �� ' - �-- � �I� a.
.„--...< '% �/ ' , 21 -,� �" � . -°- - ..- y 1-
r /
No Access
O No one in
r
W Access to service
/° lateralede_
O Inspect €on` V/1
refused
Pink Copy: SEH