4627 Ridge Cliffe Dr - Inspection Form
Residential Sanitary Sewer Service
City I P compliance inspection
1
Date 1~` 1 Time a Pm Record Number,
i
am
f e • ~`t i' g~~
Name Disk # ime Pm
PID Number'
Street Name
!-louse Number
Alternative Mailing Address Phone
OwnerlOccupant Signature inspector Signature
. information call 65.1.470.2788
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 0 Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer,
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S1. at
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe -
Transition -
4" to 6"Transition: Length of Service: Final Cleanout:
Notes
Total Correctly Incorrectly Unknown
Sump pumps Z-!
l - ' 7
r
Foundation drains
Roof drains
White Copy: Property GWI-jer YeIIow Copy: City of Eagan Pink Copy: SEH