3659 Windtree Cir - Inspection FormCity of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date g' I e2.7
Name . 7,'7 e . Disk #
PID Number
House Number Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
b No foundation drain connection
(5 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
A,Ci' No surr`3p pump
Service Lateral Inspection Findings
4" to b" Transition:
White Copy: Proper ty Owner
• Time • ( J pm
Non - Compliance
0
O
O
O
0
r %
n
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
4
Yellow Copy: City of Eagan
Record Number
(t °
Time
Phgne r )
r
d ' .Inspector Signature
Obstruction
Unable to push past
feet
Entered St, at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: : v
4
,Qam
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes
Number
Discharged
Correctly
1 pcor'rectly
Unknown
Sump pumps
a..
Foundation drains
":.,- ~--"
Roof drains
„.
City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date g' I e2.7
Name . 7,'7 e . Disk #
PID Number
House Number Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
b No foundation drain connection
(5 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
A,Ci' No surr`3p pump
Service Lateral Inspection Findings
4" to b" Transition:
White Copy: Proper ty Owner
• Time • ( J pm
Non - Compliance
0
O
O
O
0
r %
n
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
4
Yellow Copy: City of Eagan
Record Number
(t °
Time
Phgne r )
r
d ' .Inspector Signature
Obstruction
Unable to push past
feet
Entered St, at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout: : v
4
,Qam
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH