3663 Windtree Cir - Inspection FormSump pumps
1 fAtcfi
tq &
IN 11 ,--
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Foundation drains
0
Roof drains
r ol tap°
Residential Sanitary Sewer Service
Compliance Inspection
Date D / 1 OI
&)ES5T
Name
PID Number
House Number 341,63
Alternative MailingAddress
For information call 651.4702788
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No id
OwnerlOccupant Signature
Service Later al Inspection Findings Number of stacks
Roots 5 l
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
f (-
4" to 6" Transition:
tc1-6— tik >c
(., Length of Service:
Total
Li • -2 -,r) 0 am
Time 'AD"'
Disk #
a
Street Name
Lthi L12]
Correctly Incorrectly Unknown
\i\11.-)vwf L
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
NtirrIber Discharged .
White Copy: Property Owner
Record Number
Phone 63 6/62
Time
Obstruction
Unable to push past
feet
0 am
e
• prn
Inspktpc ignature
Er'ltered S. L at 11 C 5 (t( 6A
No Access
O No one in
O Access to service
later al needed
O Inspection
refused
Final Cleanout:
Cleanout:
ivt)
Notes
41-
4ct 175N f: Lc A rri9
3E 3i\V
Yellow Copy: City of Eagan Pink Copy: SEH