3637 Windtree Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of tap
Residential Sanitary Sewer Service
Compliance Inspection
Dated
JO 1 {
Name� i �����. ;J Disk#
PID Number
1
House Number Street Name
Alternative Mailing Address
L gy
Owner /Occupa> Signature
For information call 65
Compliance
O No foundation drain connection
No roof drain connection
Sump pit noc connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings Number of stacks /� Entered S L. at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
■ n
Transition
7
4" to 6" Transition:
White Copy: Property Owner
Total
f pm
Non
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 Discharged c ,.
Correctly
f
7
Length of Service:
�
Phone . - . s s t
incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
t 1 -1
e • = -r 7 , !
- 1 f f � iii
. fa •
•
inspector Signature
Obstruction
Unable to push past
feet
i I
� 1
-Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
am
pm
.1 2 --P-
Notes
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Pink Copy: SEH
7
City of Cap]
Residential Sanitary Sewer Service
Compliance Inspection
Date
PO Number
House Number .7 ='} Street Name
Alternative Mailing Address-,
Owner/Occupant' Signature
Compliance
O No foundation drain connection
7
)t1 Disk #
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
am
Time'' 1 adr Pm
�1
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 Ser vice:
Yellow Copy: City of Eagan
Record Number
E,
{
• 8 am
Time r ® -.__ ..- ✓ pm
1
Phone /'�!3��
Inspector Signature
For information :call ; °65
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition , r' r
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
/1
Final Cleanout: _ f_'
Pink Copy: SEH
Total
Notes
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Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
1 ! ➢ '
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Foundation drains
X
Roof drains
City of Cap]
Residential Sanitary Sewer Service
Compliance Inspection
Date
PO Number
House Number .7 ='} Street Name
Alternative Mailing Address-,
Owner/Occupant' Signature
Compliance
O No foundation drain connection
7
)t1 Disk #
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
am
Time'' 1 adr Pm
�1
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 Ser vice:
Yellow Copy: City of Eagan
Record Number
E,
{
• 8 am
Time r ® -.__ ..- ✓ pm
1
Phone /'�!3��
Inspector Signature
For information :call ; °65
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service .
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition , r' r
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
/1
Final Cleanout: _ f_'
Pink Copy: SEH