4691 Ridge Cliffe Dr - Inspection Forms44011- City of Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
i )
Name j
PID Number
House Number
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
O No foundation drain connection
‘CC
r "1r
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to b" Transition:
White Copy: Pr operty Owner
Time
Jl)
Service Lateral Inspection Findings
Roots
Disk #
Street Name
• /3 ✓�' am
• O pm
( A ` ' lr�
t J
For information .call 651.47
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
Record Number
2 a
Time 7' - o pm
r
/ 1 /9
ri
,1 7 ' ...,L- 0 1
Phone _61
f )—
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Entered S.L. at °�y' y '
Yom' e .� F
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /I
Transition - �.< i 4-'' � --� rn /) ) —
- L- engt- i- of- Seracice ) 710, - r Final Cleanout
Yellow Copy: City of Eagan
Pink Copy: SEH
Total
Notes
6.-'1)./(-17(.21,,c,/{) ,
r
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j
- c -` ` r ) rf -` 2 ; " 5, 7
f
f . { ._ r ��1�.
Number
Discharged
Correctly
incorrectly Unknown
Sump pumps
__ _
r
' �,
r r r / t .r
ic � l�
- ¢
Foundation drains
Roof drains
r �
44011- City of Papa
Residential Sanitary Sewer Service
Compliance Inspection
Date 1
i )
Name j
PID Number
House Number
Alternative Mailing Address
OwnerlOccupant Signature
Compliance
O No foundation drain connection
‘CC
r "1r
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to b" Transition:
White Copy: Pr operty Owner
Time
Jl)
Service Lateral Inspection Findings
Roots
Disk #
Street Name
• /3 ✓�' am
• O pm
( A ` ' lr�
t J
For information .call 651.47
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
Record Number
2 a
Time 7' - o pm
r
/ 1 /9
ri
,1 7 ' ...,L- 0 1
Phone _61
f )—
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Entered S.L. at °�y' y '
Yom' e .� F
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /I
Transition - �.< i 4-'' � --� rn /) ) —
- L- engt- i- of- Seracice ) 710, - r Final Cleanout
Yellow Copy: City of Eagan
Pink Copy: SEH
City of fa
P o
Residential Sanitary Sewer Service
Compliance Inspection
- r --- j 1
Date /
r ��}
Name ��Y
PID Number
House Number . 1 %' Street Name
Alternative Mailing Address
1. •�
1 : L.
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Property Owner
Total
Time
Disk #
Owner /Occupant Signature
Service Lateral Inspection Findings
Correctly
am
• pm
Incorrectly
rlH
For information call 651.470.2788
s/
Phone i r'.
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
Roots
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
Length of Service:
Number Discharged
Sump pumps
Foundation drains
Roof drains
Unknown
Record Number
Time
Notes
Inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
0 am
•
• 0 p m
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Entered S L at
I
• „ .. L - _ _ ._,..- ! <__ Cam_ -`,r
i ,c-+ i am _
7 'a-2—r— _
-2 , t c - . j
, ,, (, -?
d f
Yellow Copy: City of Eagan Pink Copy: SEH