4606 1_2 Ridge Cliffe Dr - Inspection Form4 111 _ 11I ' EP of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date If 1 ) Time
Name 4
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
Service Lateral Inspection Findings
f)
Transition 1..- --f°':: /'
4" to 6" Transition:
White Copy: Property Owner
Disk #
PID Number
House Number P �)1 ) 2 Street Name
(,
OwnerlOccupant Signature
f � y
• 00 am
• O pm
/2 '/
CD.
Alternative Mailing Address
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
tom
Phone /
Number of stacks -'1 Entered S.L. at
• � � am
Time d • f pm
I nspector Signature
Obstruction
Unable to push past
feet.
rR
For information call 65 1.470.2788
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
Final Cleanout: r
Pink Copy: SEH
Number Discharged
Notes
r ).��1 ' - Tr I `C
r. ( ! ,
Total
Correctly
Incorrectly
Unknown
Sump pumps
_ y:
J/ n /
L -. ��/'
i
Foundation drains
y
Roof drains
4 111 _ 11I ' EP of Ea an
Residential Sanitary Sewer Service
Compliance Inspection
Date If 1 ) Time
Name 4
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
Service Lateral Inspection Findings
f)
Transition 1..- --f°':: /'
4" to 6" Transition:
White Copy: Property Owner
Disk #
PID Number
House Number P �)1 ) 2 Street Name
(,
OwnerlOccupant Signature
f � y
• 00 am
• O pm
/2 '/
CD.
Alternative Mailing Address
Length of Service:
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
Yellow Copy: City of Eagan
Record Number
tom
Phone /
Number of stacks -'1 Entered S.L. at
• � � am
Time d • f pm
I nspector Signature
Obstruction
Unable to push past
feet.
rR
For information call 65 1.470.2788
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
Final Cleanout: r
Pink Copy: SEH