3758 Windtree Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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Elly of Eaaao
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 ! 1 ft ;' Tim, _
Name ) 1 ��' rf �i" Disk #
PID Number
House Number
Alternative Mailing Address
4" to 6" Transition: 7 C
White Copy: Property Owner
Owner/Occupant 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
Sag /Pipe Deflection
Damaged Pipe
Transition 2 -1-
am
Pm
I J
�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 Service:
Number Discharged
otal Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
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Record Number
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Street Name '/� ./ J i)l'
ime
Phone t- [?
Inspecror Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Service Lateral Inspection Findings Number of stacks Entered S. L at
Roots
Poor Pipe Joints
Mineral Deposits
Notes
./ y 7) } 1/4 _! (74-:=1-4-;1-
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout: J ��
Pink Copy: SEH