4687 Ridge Cliffe Dr - Inspection Forme City f Ea
Y p,an
Residential Sanitary Sewer Service
Compliance Inspection
1 E7 I Date/2 J
Name , ,, / � f:t
Alternative Mailing Address
rY
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
Damaged Pipe
! 1 is JG
Transition _474°-
4" to 6" Transition:
White Copy: Property Owner
Time
Service Lateral Inspection Findings
Disk #
PID Number
House Number 1--f / Street Name
• J am
• pm
OwnerlOc‘cGpant Signature
Non - Compliance
0
O
O
O
0
! 1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
_La05114£$eg
Record Number
— : r Phone 6 — ' — ) i"
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks 4 Entered S. at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
/1
•
Time .�' > •
Inspector Signature
L' .76
am
/ pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
r - i f �-
_ a f., S
,... -, i 1- f lam- e Calt y C f . � f fY }/J "---) ' f - - '
Total
Sump pumps
,
AI
1 j 4 ,�
/
Foundation drains
Orli
/
Roof drains
2
MEI
e City f Ea
Y p,an
Residential Sanitary Sewer Service
Compliance Inspection
1 E7 I Date/2 J
Name , ,, / � f:t
Alternative Mailing Address
rY
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Damaged Pipe
! 1 is JG
Transition _474°-
4" to 6" Transition:
White Copy: Property Owner
Time
Service Lateral Inspection Findings
Disk #
PID Number
House Number 1--f / Street Name
• J am
• pm
OwnerlOc‘cGpant Signature
Non - Compliance
0
O
O
O
0
! 1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Yellow Copy: City of Eagan
_La05114£$eg
Record Number
— : r Phone 6 — ' — ) i"
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks 4 Entered S. at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
/1
•
Time .�' > •
Inspector Signature
L' .76
am
/ pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Pink Copy: SEH