4632 Ridge Cliffe Dr - Inspection FormCity Fa u
Y
Residential Sanitary Sewer Service
Compliance Inspection
Date
i "%. j :_ - Disk#
PID Number
Name 1�
Alternative Mailing Address, Phone � J %= r
Flouse Number
to"
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
•' am
Time • - d pm
. Street Name
OwnerlOccupant Signature
For information call 651.470.2788
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
� r Service Lateral Lateral In ection Findings Nutnber of stacks 1 E tered S.L. at
Roots ¢ - r . '"j 5 ./
il
Transition '
4" to 6 "Transition:
White Copy: Property Owner
Yellow Copy: City of Eagan
Length of Service:
Record Number
• / °am
Time r ? • o pm
Obstruction
Unable to push past
feet
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
eD
-14- L-- Final Cleanout:
Pink Copy: SEH
Total
Notes
r� i ' �
; i
. '' �. F
/�� k III
l
'�
? f
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
f
# '
/" `
Foundation drains
-
r
r
Roof drains
City Fa u
Y
Residential Sanitary Sewer Service
Compliance Inspection
Date
i "%. j :_ - Disk#
PID Number
Name 1�
Alternative Mailing Address, Phone � J %= r
Flouse Number
to"
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
•' am
Time • - d pm
. Street Name
OwnerlOccupant Signature
For information call 651.470.2788
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
� r Service Lateral Lateral In ection Findings Nutnber of stacks 1 E tered S.L. at
Roots ¢ - r . '"j 5 ./
il
Transition '
4" to 6 "Transition:
White Copy: Property Owner
Yellow Copy: City of Eagan
Length of Service:
Record Number
• / °am
Time r ? • o pm
Obstruction
Unable to push past
feet
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
eD
-14- L-- Final Cleanout:
Pink Copy: SEH
