4689 Ridge Cliffe Dr - Inspection Formill. City ij1 Ca n
Residential Sanitary Sewer Service
Compliance Inspection
Date k / / /t/ Time /!7
Name — 1/( 4 /
PID Number
House Number </a s Street Name
Alternative Mailing Address
4" to 6" Transition:
Compliance
O No foundation drain connection
X No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
g , No sump pump
Service Lateral Inspection Findings
White Copy: Proper ty Owner
Disk #
Owner /Occupant Signature
O
O
O
O
O
0
1
o am
ei-pm
Non - Compliance
z
(
Phone 4/) t F : ( - ri "9
/Inspector Signature
For information call 65 1.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks 1
Yellow Copy: City of Fagan
Length of Service:
7.
Record Number
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /
Transition' (na .: ra f-• 5i'E 1/
Notes �1' ✓ L / A ct' „-1
..-
G�.� ;jam Z � .^J C..61
Time
Obstruction
Unable to push past
feet
e7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Final Cleanout:
/v z cF
IfriAted0 Cr v
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
----
-- ----
ill. City ij1 Ca n
Residential Sanitary Sewer Service
Compliance Inspection
Date k / / /t/ Time /!7
Name — 1/( 4 /
PID Number
House Number </a s Street Name
Alternative Mailing Address
4" to 6" Transition:
Compliance
O No foundation drain connection
X No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
g , No sump pump
Service Lateral Inspection Findings
White Copy: Proper ty Owner
Disk #
Owner /Occupant Signature
O
O
O
O
O
0
1
o am
ei-pm
Non - Compliance
z
(
Phone 4/) t F : ( - ri "9
/Inspector Signature
For information call 65 1.470.2788
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks 1
Yellow Copy: City of Fagan
Length of Service:
7.
Record Number
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe /
Transition' (na .: ra f-• 5i'E 1/
Notes �1' ✓ L / A ct' „-1
..-
G�.� ;jam Z � .^J C..61
Time
Obstruction
Unable to push past
feet
e7
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at
Final Cleanout:
/v z cF
IfriAted0 Cr v
Pink Copy: SEH