3786 Windtree Dr - Inspection FormCity f Capri
y � ri
Residential Sanitary Sewer Service
Compliance Inspection
Date> / C -- /_)
Name r . ,` :� Disk #
PID Number
House Number
/ T 3i Street Name
Time
Owner /Occupant Signature
am
Pm
)A.,/;71.71
Alternative Mailing Address
.. „R �.- ... yf
For information call 651.470.2788
Compliance
F
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
4" to 6 "Transition:
White Copy Property Owner
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 '',
Length of Service:
B
Record Number
Yellow Copy: City of Eagan
f
Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered Si_ 7 "
Final Cleanout:
o J am
• pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
Total
Sump pumps
� -
1.--," f `y
IIIIIIIIIIIIII
Foundation drains
(,:
Roof drains
�
City f Capri
y � ri
Residential Sanitary Sewer Service
Compliance Inspection
Date> / C -- /_)
Name r . ,` :� Disk #
PID Number
House Number
/ T 3i Street Name
Time
Owner /Occupant Signature
am
Pm
)A.,/;71.71
Alternative Mailing Address
.. „R �.- ... yf
For information call 651.470.2788
Compliance
F
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
4" to 6 "Transition:
White Copy Property Owner
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 '',
Length of Service:
B
Record Number
Yellow Copy: City of Eagan
f
Time
Phone
Inspector Signature
Obstruction
Unable to push past
feet
Entered Si_ 7 "
Final Cleanout:
o J am
• pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH