3667 Windtree Cir - Inspection FormSump pumps
., -_,_
Foundation drains
Roof drains
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4 111. . City of hp]
Residential Sanitary Sewer Service
Compliance Inspection
Date (."9'r 197 /
Name 4 air A/ Disk #
PID Number
House Number
Alternative MailingAddrss
For information call 651.470.2788
Compliance
0 No foundation drain connection
F No roof drain connection
O, Sump pit not connected to
Th. sanitary sewer
0 Sump pump properly piped
No sump pump
Service Lateral Inspection Findings Number of stacks 1 Entered S.L at
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy: Property Owner
Total
Time 45 m
Street Name
Owner /Occupant Signature
Correctly
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:
Number Discharged
Incorrectly
0
Unknown
Yellow Copy: City of Eagan
Record Number
0
Oft-
Sy'
/6 • • a"
Time •
'Rhone
..
;f
Inspector Signature
4
Obstruction
Unable to push past
feet
O am
.0' pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes .. ..y : < , i R
t�
/'V) / �,t
A
' C
Pink Copy: SEH