4669 Ridge Cliffe Dr - Inspection FormCity of Eap,ao
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 /1 /. 1 /;)
Name �� ..erh9 5 '4''!t_'P'" -- Disk #
PID Number
House Number.
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
i Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
• eam
Time 1/ • i -Tc.! pm
Street Name
1
Number of stacks
Record Number
1)
//; of 2,77
Alternative Mailing Address
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
Length of Service:
Yellow Copy: City of Fagan
Entered S at
[_2i Time i` • o pm
Phone : 42;20P - z1 ° of-s-
/2 7
'inspector Signature
Obstruction
Unable to push past
feet,
am
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
n A
Transition IN" N i, ^r r "" s t, /r fs. 7 i ^� (4,‘,/
Fi nal Cleanout: s.', 4/6 - .7 r fr✓
Pink Copy: SEH
Number Discharged'
N otes
4,� c d -A�ri. r, , .,
7/ r
f p . k — a s',� t 4' 1,,,,,
Total
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
a-
1 I-J ,,. /. c., ,-, e., di..wl. !
'� ,
Roof drains
City of Eap,ao
Residential Sanitary Sewer Service
Compliance Inspection
Date 2 /1 /. 1 /;)
Name �� ..erh9 5 '4''!t_'P'" -- Disk #
PID Number
House Number.
Owner /Occupant Signature
Compliance
O No foundation drain connection
No roof drain connection
i Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Property Owner
• eam
Time 1/ • i -Tc.! pm
Street Name
1
Number of stacks
Record Number
1)
//; of 2,77
Alternative Mailing Address
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
Length of Service:
Yellow Copy: City of Fagan
Entered S at
[_2i Time i` • o pm
Phone : 42;20P - z1 ° of-s-
/2 7
'inspector Signature
Obstruction
Unable to push past
feet,
am
For information call 651.470.2788
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
n A
Transition IN" N i, ^r r "" s t, /r fs. 7 i ^� (4,‘,/
Fi nal Cleanout: s.', 4/6 - .7 r fr✓
Pink Copy: SEH