4622 1_2 Ridge Cliffe Dr - Inspection Form
Residential Sanitary Sewer Service
city I lr Compliance inspection
Date_ % 1 1 Time • `6 pm Record Number,
• am
Name Disk # Time / • O Pm
P1D Number
House Number / V-2 Strr. et Name - k ~f' % /
z" Z-
I 1_
Alternative ailingA reds r a
Phone
_ J 0tivnerlOccupant 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
No roof drain connection sanitary sewer _ feet O Access to service
O Service lateral defects lateral needed
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 S L at
Roots \ e.
Poor Pi Jofi: nts 1
Mineral Deposits It v _
Sag/Pipe Deflection e
Damaged Pipe
0 Transition
4" to 6"Transition: Length of Service: Final Cleanout: '
Notes
Number Discharged 'VZ
Total Correctly Incorrectly Unknown 7 I
Sump pumps r,•~~1
Foundation drains_
- ' f- 0I u
Roof drains
White copy: Property Owner Yellow Copy: City of Pagan Pink Copy: SEH