4650 Ridge Cliffe Dr - Inspection Form411111°. of Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date L.j ( ✓
-o� ) r 11
Name i rr
Alternativ . ailing Address
Owner
oi pliance
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
4" to 6 "Transition:
White Copy: Property Owner
Time
Disk #
Occupant Signature
PID Number
House Number? � Street Name
44
am
Pm
—L-errgtircifSerxvice:
Phone 1, 27";:;62
't�' * ';17 , ) ( /`,2
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Surnp pump connected to sanitary
sewer
O Flexible sump pump piping
Yellow Copy: City of Fagan
Record Number
Time
) !�
< %/ °
Inspectoi
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks ▪ Entered S.,L , at
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
•
am
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout,;"—'
Number Discharged
1
Sump pumps
Foundation drains
Roof drains
-.7 1 �(
r
,p,„,./ -4--
1
Total Correctly Incorrectly Unknown
Notes
Pink Copy: SEH