3629 Windtree Dr - Inspection Form41*
it al halaii
Residential Sanitary Sewer Service
Compliance Inspection
Date %/1/ ,//
Name Disk #
0 am
Time 0 pm
PID Number
House Number Street Name
Alternative Mailing Address Phone
4
4" to 6" Transition:
White Copy: Property Ownei
Owneribccupthnt Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
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:
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
cr am
•
• 0 pm
For information call 651.470.2788
No Access
O No one in
• Access to service
\ lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes .......— A 4' 2 .„.
,
/ - -
. .,--' .. ,
2'
, .
... -,,
. .. , .
. "
Total
Sump pumps
=
Foundation drains
MI
Roof drains
41*
it al halaii
Residential Sanitary Sewer Service
Compliance Inspection
Date %/1/ ,//
Name Disk #
0 am
Time 0 pm
PID Number
House Number Street Name
Alternative Mailing Address Phone
4
4" to 6" Transition:
White Copy: Property Ownei
Owneribccupthnt Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
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:
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
cr am
•
• 0 pm
For information call 651.470.2788
No Access
O No one in
• Access to service
\ lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipejoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEH