4622 Ridge Cliffe Dr - Inspection Form
idcity ential Sanitary Sewer Service
Eapo s. Compliance Inspection
Date Time J ' pm Record Number If
n` n y j• 0 f O am
Name n r~ fib Disk# Time / • o Pm
PID Number ,
House Number Street Name
r "
Aliernat[ve MaifingAddr)e s Phone
! i 6v nerloccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear- water- connections to Unable to push past O No one in
sanitary sewer feet
No roof drain connection O Access to service
O Service lateral defects lateral needed
Fd Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary
O Sump pump properly piped sewer refused
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks') _ Entered SL.at ~ =r
Roots _
Poor'PipeJoints '`1 ,r' '
Miner-al"Deposits
Sag/pipe\Deflection --I
Damaged Pipe
Transition 44 ° 'LJ,~ --~~"~r, J ~ ~ ~ t~~ _ ~ ,..~c-~i ~r"~,,'
4" to b"Transition: Length of Service: Final Cleanout:
Notes
Number Discharged
Total Correctly Incorrectly Unknown
it j• ,7 , s y 1~~ I > - ? ms's 7 '
f Gam- % 1 i ! f F
Sump pumps
Foundation drains
Roof drains
White Copy- Property Owner Yellow Copy: City of Eagan Pink Copy: SEH