3750 Windtree Dr - Inspection FormSump pumps
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Foundation drains
2
Roof drains
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Residential Sanitary Sewer Service
Compliance Inspection
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Date` l
Name /
RD Number
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House Number `w9 / , / Street Name
Alternative Mailing Address
For information call 651.470.2788
Compliance
q 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
Roots
Poor Pipe joints
Mineral Deposits
4" tcii6 "Transition:
White Copy: Property Owner
Time
1 I
#
OwnerlOccupant Signature
am
Pm
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
Sag /Pipe Deflection
Damaged Pipe _L
Q-,-.7
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Number of stacks 1 Entered S . at
Length of Service: 7
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Phone ==
Obstruction
Unable to push past
feet
Notes
Time
Inspector Signature
p
Pm
i t , z 2 3
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
7 r
-Final Cleanout: j
Yellow Copy: City of Eagan Pink Copy: SEH