3632 Windtree Dr - Inspection FormCity (if Ealan
Residential Sanitary Sewer Service
Compliance Inspection
Dat- /
Name T
PID Number
ir
(7) Disk #
(7) j
House Number Street Name ) - 2.
Phone
Alternative .Mailing Add esY
For information call 651.470.2788
Compliance
O 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: Pi opet ty Owner
Ars ''" 9 am
Time • 9 pm
,/,------
OwnerlOicupant 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 of stacks
)
Length of Service: ) )
Record Number
a ka
Time ----- •
Obstruction
Unable to push past
feet
Entered S L at ---
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
/./
Yellow Copy: City of Eagan
inspector Signature
7 -1 .<2
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
„41,
Cleanout:
Pink Copy: SEH
Notes,
,P
,,.>zi' 7)/
,-'2 - 7 1 - - ,,-----.
i
--,-. /
..,,"--
...--- _,L.._4__. ',
cr
_...,....„.. „.:•'...;:,'/ ./ . -- `7 : - : : .
■ - 7
I
1 . -^,/ ...,,,
1. c .:.-
-- I (...— 3 .e
:Nul?er.:11;4scharge.
Correctly
Incorrectly
, :..: , i . ....:
Unknown
Total
Sump p
_...... - 7) =
i ..C_? '").
•.-
-- --
.) -.2 ,.-
Foundation drains
., _-------.
_,, .. .„
• 1).--)--- ..--''
Roof drains
;
(...,-/
City (if Ealan
Residential Sanitary Sewer Service
Compliance Inspection
Dat- /
Name T
PID Number
ir
(7) Disk #
(7) j
House Number Street Name ) - 2.
Phone
Alternative .Mailing Add esY
For information call 651.470.2788
Compliance
O 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: Pi opet ty Owner
Ars ''" 9 am
Time • 9 pm
,/,------
OwnerlOicupant 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 of stacks
)
Length of Service: ) )
Record Number
a ka
Time ----- •
Obstruction
Unable to push past
feet
Entered S L at ---
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
/./
Yellow Copy: City of Eagan
inspector Signature
7 -1 .<2
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
„41,
Cleanout:
Pink Copy: SEH
City of Fla
Residential Sanitary Sewer Service
Cornpliance Inspection
Dat 1 Time `T: • o pm
Name ! .: / 7 Disk #
PID Number -
House Number _al::- __17�,.4, Street Name _ /1 f ) / 4 -
Alternative Mailing
Owner /9Ccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Non - Compliance
For information. call 65 470.2788
Obstruction
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
Service Lateral Inspection Findings Number of stacks Entered S.L.a
Transition s ="
4" to 6 "Transition:
White Copy: Pr oper ty Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number /
e o ,,,/
Time - - -- °' e pm
1
Phone f l – _ Z -- _� _ / }
Inspector Signature
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
f
Final Cleanout:
Pink Copy: SEH
Number.
Correctly
Discharged
Notes
P/' -
Total
Incorrectly
Unknown
Sump pumps
Sump
;`?. -5'r `l ¢
'� i
—,,- -:
.-'~ ! . "� iro / k...,/(77-
Foundation drains
-� r/ } -- / �•
} .,,
Roof drains
i,___/
City of Fla
Residential Sanitary Sewer Service
Cornpliance Inspection
Dat 1 Time `T: • o pm
Name ! .: / 7 Disk #
PID Number -
House Number _al::- __17�,.4, Street Name _ /1 f ) / 4 -
Alternative Mailing
Owner /9Ccupant Signature
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Non - Compliance
For information. call 65 470.2788
Obstruction
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
Service Lateral Inspection Findings Number of stacks Entered S.L.a
Transition s ="
4" to 6 "Transition:
White Copy: Pr oper ty Owner
Length of Service:
Yellow Copy: City of Eagan
Record Number /
e o ,,,/
Time - - -- °' e pm
1
Phone f l – _ Z -- _� _ / }
Inspector Signature
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
f
Final Cleanout:
Pink Copy: SEH