3655 Windtree Ct - Inspection Formr City 01 Fa aB
Residential; Sanitary Sewer Service
Compliance Inspection
Date 1 != /
Name . - . 3.
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
(�1
Transition 1--
4" to 6" Transition:
White Copy: Proper ty Owner
Time )
/ '1
/ f " % /Disk #
Service Lateral inspection Findings
Roots
1
Street Name .1/1
----- --"OwnerlOccupant ;Signature
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
Number of stacks
Poor Pipe Joints °'� •�' : �,�/ :',-�
1 7
Record Number
ime
e
•
pm
Phone _ 5
•
For information call 651:470.2788
Obstruction
Unable to push past
feet
Entered S L at
Length of Service: / 1/ r 'iii final Cleanout:
Notes
//'
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
r
o �
Yellow Copy: City of Eagan Pink Copy: SEH
Number.
Correctly
Discharged •
Incorrectly Unknown
Total
Sump pumps
Foundation drains
Roof drains
''
r City 01 Fa aB
Residential; Sanitary Sewer Service
Compliance Inspection
Date 1 != /
Name . - . 3.
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
(�1
Transition 1--
4" to 6" Transition:
White Copy: Proper ty Owner
Time )
/ '1
/ f " % /Disk #
Service Lateral inspection Findings
Roots
1
Street Name .1/1
----- --"OwnerlOccupant ;Signature
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
Number of stacks
Poor Pipe Joints °'� •�' : �,�/ :',-�
1 7
Record Number
ime
e
•
pm
Phone _ 5
•
For information call 651:470.2788
Obstruction
Unable to push past
feet
Entered S L at
Length of Service: / 1/ r 'iii final Cleanout:
Notes
//'
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
r
o �
Yellow Copy: City of Eagan Pink Copy: SEH