4626 Ridge Cliffe Dr - Inspection Form 1
Residential Sanitary Sewer Service.
City I rlr Compliance Inspection
Date Time. 7-' f'ff Qam i
z~ '5 pm Record Number ?
f . ' • Q am
Names Disk # Time PM
PID Number _
House Number f Z : Street Name
Alternative Mailing Address Phone
f
4
Owner/Occupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
V No foundation drain connection O Clear, water connections to Unable to push past O No one in
' I, sanitary sewer, feet
No roof drain connection O Access to service
0
O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S.L.at f, 2' _
Roots _
Poor Pipef pints-
Mineral Deposits
Sag/Pipe Deflection _ T
Damaged Pipe
Transition
-i
r• ' /
. r : f
4" to 6" Transition: Length of Service: , Final Clean out:
Notes
Number Discharged
/ i rl -i raj /l
Total Correctly Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
White Copy: PrOpel ty Owner Yellow Copy: City of Eagan Pink Copy: SEH