4628 Ridge Cliffe Dr - Inspection FormCity f a a
Y � o
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
4" to 6" Transition:
White Copy: Property Owner
Compliance
', No foundation drain connection
3 No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
,'0 No sump pump
Time
Service Lateral Inspection Findings
Disk #
PID Number
OwnerlOccupant Signature
o am
0 •pm
(V ,
Alternative Mailing Address
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet.
Final Cleanout:
pram
O pm
House Number 1. =% Street Name
Phone
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Entered S.L.at F �' �' � . t)
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEI-I
Number
Discharged
Incorrectly
Unknown
Notes
Total Correctly
Sump pumps
Foundation drains
=MIMI=
WWI=
Roof drains
City f a a
Y � o
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
4" to 6" Transition:
White Copy: Property Owner
Compliance
', No foundation drain connection
3 No roof drain connection
O Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
,'0 No sump pump
Time
Service Lateral Inspection Findings
Disk #
PID Number
OwnerlOccupant Signature
o am
0 •pm
(V ,
Alternative Mailing Address
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
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Inspector Signature
Obstruction
Unable to push past
feet.
Final Cleanout:
pram
O pm
House Number 1. =% Street Name
Phone
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Entered S.L.at F �' �' � . t)
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Pink Copy: SEI-I