3730 Windtree Dr - Inspection FormCity ill taRail
Ftesiciential Sanitary Sewer Service
•
Compliance Inspection
Date!Jf / 6 /
?.;
Name 17 Disk #
PID Number
House Number Z.72Z
Compliance
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•PipeJoints
Mineral Deposits
Sag/Pipe Deflection —
Damaged Pipe
Transition L i 'Ai AkC (-( Li
4" to 6" - transition:
Time
Street Name
Non-Compliance
0
0
0
0
0
Alternative Mailing Address /
cr^,
I f V7. ,7
/
Owner/Occupant Signature
For information call 651.470/788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
White Copy: Proper ty Owner
7
1‘;1
Yellow Copy: City of Eagan
/f/C)
Record Number
rf
Time
• cl
• 0 pm
Phorre
77/ •
/
Obstruction
Unable to push past
feet
- / rf c.1,7;72
!inspector Signature
Number of stacks .--
Entered S L at
Notes
ft / 'f
1 Z.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
e/ .
Final Cleanout: ,
• - "tr
r'
7
Pink Copy: SEE'
Nurober
Co r rectly
Disc.harged
Incorrectly
Unknovvn
Total
Sump pumps
k
V
..A,
Foundation drains
...,
, / \
Roof drains
,--_,
City ill taRail
Ftesiciential Sanitary Sewer Service
•
Compliance Inspection
Date!Jf / 6 /
?.;
Name 17 Disk #
PID Number
House Number Z.72Z
Compliance
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•PipeJoints
Mineral Deposits
Sag/Pipe Deflection —
Damaged Pipe
Transition L i 'Ai AkC (-( Li
4" to 6" - transition:
Time
Street Name
Non-Compliance
0
0
0
0
0
Alternative Mailing Address /
cr^,
I f V7. ,7
/
Owner/Occupant Signature
For information call 651.470/788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Length of Service:
White Copy: Proper ty Owner
7
1‘;1
Yellow Copy: City of Eagan
/f/C)
Record Number
rf
Time
• cl
• 0 pm
Phorre
77/ •
/
Obstruction
Unable to push past
feet
- / rf c.1,7;72
!inspector Signature
Number of stacks .--
Entered S L at
Notes
ft / 'f
1 Z.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
e/ .
Final Cleanout: ,
• - "tr
r'
7
Pink Copy: SEE'