4667 Ridge Cliffe Dr - Inspection Form';,, x;11 t Ea 8
Y � n
Residential Sanitary Sewer Service
Compliance Inspection
Date1�1
Name
PID Number
House Number 4667 Street Name
Alternative Mailing Address
�7
O
/
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
ii
Transition
4" to 6 "Transition:
White Copy: Property Owner
1 2
Time •
i.r Z
OwnerlOccupant Signature
Disk #
' 0 am
X pm
Record Number
Time
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
}
f v
• _Lea f-Ser- vice:-
/
Obstruction
Unable to push past
feet
Notes
�7 � ' ? - 0 am
/ • - pm
4
Phone
Inspector ignature
/ 1
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S 1. at
Roots
Poor Pipe Joints
Mineral Deposits
1 /
Final Cleanout: I
C ".
1
6j ci/
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
a /
'.v
i -ter
jr-'"/-,
4 1
,')
Foundation drains
Roof drains
';,, x;11 t Ea 8
Y � n
Residential Sanitary Sewer Service
Compliance Inspection
Date1�1
Name
PID Number
House Number 4667 Street Name
Alternative Mailing Address
�7
O
/
Compliance
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
ii
Transition
4" to 6 "Transition:
White Copy: Property Owner
1 2
Time •
i.r Z
OwnerlOccupant Signature
Disk #
' 0 am
X pm
Record Number
Time
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
}
f v
• _Lea f-Ser- vice:-
/
Obstruction
Unable to push past
feet
Notes
�7 � ' ? - 0 am
/ • - pm
4
Phone
Inspector ignature
/ 1
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Number of stacks Entered S 1. at
Roots
Poor Pipe Joints
Mineral Deposits
1 /
Final Cleanout: I
C ".
1
6j ci/
Yellow Copy: City of Eagan Pink Copy: SEH