4610 Ridge Cliffe Dr - Inspections Form'Cit at Ca p
Residential Sanitary Sewer Service
Compliance Inspection
Date O31 e Z1 /C.) Time :—TO , pm
Name ,_.fiz °5--'V .‘Cie-Disk#I TO
PID Number
3
House Number. <` C"-
Street Name
Alternative Mailing Address
t
z
Record Number
;
Fri_/Time
• o am
• - _ Pm
OwneVOccupant Signature
Phone
inspector Signature
•
-(?
For information call 65 [.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
kNo sump pump
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Number of stacks Entered S,L,at
Damaged Pipe
Transition L(,
4 t
roiu,°.•
4" to 6"Transition:
o/
A
Length of Service:
— Final Cleanout: I1
White Copy: Property Owner
Yellow Copy: City of Fagan
Pink Copy: SEH
Notes,e,u�,-4;-,-.,,,,:-c-/7,--
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r L e.)cF--,'2i';(>2s.�1 ; _� a
Number
Cor recti
Miliiiiiii
1.1111111111
Discharged
IncorrectlyUnknown
Total
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Yellow Copy: City of Fagan
Pink Copy: SEH
411.
City of Fa an
Residential Sanitary Sewer Service
Compliance Inspection
Date > 1 ) / Time "�`O
T ! y
PID Number
Name
Disk #
p
/ / J�
House Number )--7V /i � r` � Street Name
Alternative Mailing Address
Record Number '1
1 0 am
Time L*L. •
• s
„d1
11
2
Owner/Occupant Sig enure
Phone / -
Inspector Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Non -Compliance
Obstruction
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateran Inspection Findings Number of stacks
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transitions - ? 1i
4" to 6"Transition:
Length of Service: f
rC.
Final Cleanout:
Notes
G ii✓ i fire G r
/17I- -} y
White Copy: Proper ty Owner
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
i
Foundation drains
Roof drains
r�E
Notes
G ii✓ i fire G r
/17I- -} y
White Copy: Proper ty Owner
Yellow Copy: City of Eagan Pink Copy: SEH