3641 Windtree Dr - Inspection FormCity ollapa
Residential Sanitary Sewer Service
Compliance Inspection
}
Date,' , Time
Name §"
House Number
4" to b" Transition:
PID Number
2
Alternative Mailing Address
For information call 651.470.2788
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
Damaged Pipe Trrsition irk �t 77 ..
White Copy: Property Owner
Z ! Disk#
OwnerlOccupait Signature
( 100.0.
pm
Street Name
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:
r ;
Service Lateral Inspection Findings Number,,of stacks ..-
Roots ;; f i ,t
PoorPipeJoints ---- . f : , — ; ?, ,,J. _,L. tea )
Mineral Deposits , I : .
'% 1l d 1/
Sag /Pipe Deflection ' 7 , .-7-•
Record Number
fr
Notes
ii
Time
pram
• pm
1
Phone .1 .�� —. 16/
Inspector Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
4 Inspection
refused
Entered S L• at
'%i 4
v
Final Cleanout: •
I
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
r
Total
Sump pumps
Foundation drains
,1)
Roof drains
7/ ;i
City ollapa
Residential Sanitary Sewer Service
Compliance Inspection
}
Date,' , Time
Name §"
House Number
4" to b" Transition:
PID Number
2
Alternative Mailing Address
For information call 651.470.2788
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
Damaged Pipe Trrsition irk �t 77 ..
White Copy: Property Owner
Z ! Disk#
OwnerlOccupait Signature
( 100.0.
pm
Street Name
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:
r ;
Service Lateral Inspection Findings Number,,of stacks ..-
Roots ;; f i ,t
PoorPipeJoints ---- . f : , — ; ?, ,,J. _,L. tea )
Mineral Deposits , I : .
'% 1l d 1/
Sag /Pipe Deflection ' 7 , .-7-•
Record Number
fr
Notes
ii
Time
pram
• pm
1
Phone .1 .�� —. 16/
Inspector Signature
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
4 Inspection
refused
Entered S L• at
'%i 4
v
Final Cleanout: •
I
Yellow Copy: City of Eagan Pink Copy: SEH