3714 Windtree Dr - Inspection FormCity of 10o
Residential Sanitary, Sewer Service
Compliance inspection
Date i1 S 1 /) Time lam" j wpm
Name /44/0 Disk #
PID Number
House Number f2 /f/ Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
\ " No roof drain connection
+ Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q'No sump pump
f
4" to 6" Transition:
White Copy: Pr operty Ownet
r 1'J
Ow ner10c4ant Signature
or information call 651.470.2788
Service Lateral Inspection Findings
Non - Compliance
O
O
O
O
O
Damaged Pipe (' c k' /6/6/ 1-2,9
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks 1 Entered S L at 4 1/7c-r - 4,7
Roots `
;r
Length of Service:
Yellow Copy: City of Eagan
Record Number
c
Z., Fr
9 am
Time • / erpm
one ll f - z -7 -
./ f r�# ,-'� - � ;`.
. .-- - ---'`.5-__ -- .- --
1 Signature
O bstruction
Unable to push past
feet
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
e5
Transition
i d f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
c 0/0 T
Final Cleanout:
N otes y' % '
•
Pink Copy: SEH
Total
Number
Discharged
Correctly
incorrectly Unknown
Sump pumps
�-'.
r -w � -
.
Foundation drains
Roof drains
-� pc
-------
City of 10o
Residential Sanitary, Sewer Service
Compliance inspection
Date i1 S 1 /) Time lam" j wpm
Name /44/0 Disk #
PID Number
House Number f2 /f/ Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
\ " No roof drain connection
+ Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Q'No sump pump
f
4" to 6" Transition:
White Copy: Pr operty Ownet
r 1'J
Ow ner10c4ant Signature
or information call 651.470.2788
Service Lateral Inspection Findings
Non - Compliance
O
O
O
O
O
Damaged Pipe (' c k' /6/6/ 1-2,9
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks 1 Entered S L at 4 1/7c-r - 4,7
Roots `
;r
Length of Service:
Yellow Copy: City of Eagan
Record Number
c
Z., Fr
9 am
Time • / erpm
one ll f - z -7 -
./ f r�# ,-'� - � ;`.
. .-- - ---'`.5-__ -- .- --
1 Signature
O bstruction
Unable to push past
feet
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
e5
Transition
i d f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
c 0/0 T
Final Cleanout:
N otes y' % '
•
Pink Copy: SEH