4612 1_2 Ridge Cliffe Dr - Inspection FormCity of Ea ai
Residential Sanitary Sewer Service
Compliance Inspection
Date .-4,L1 ! 1 j!( }
Name � y t f J - Disk #
PID Number
119.' am
Time te r• p p
House Number yf? Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
S f
A No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Proper ty Owner
Own r /Occupant Signature
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
OW/ t— -
�d�- Length
Yellow Copy: City of Eagan
Record Number
Time
•
air
0 Am
Phone � , ` 3 ~.,
For information calk 651.470.2788
Obstruction
Unable to push past
feet
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition •
Final Cfeanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
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Fri
Total
Sump pumps
=.
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5 r f
/
( 1
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- -rte
Foundation drains
- �
Roof drains
- �
City of Ea ai
Residential Sanitary Sewer Service
Compliance Inspection
Date .-4,L1 ! 1 j!( }
Name � y t f J - Disk #
PID Number
119.' am
Time te r• p p
House Number yf? Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
S f
A No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Proper ty Owner
Own r /Occupant Signature
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
OW/ t— -
�d�- Length
Yellow Copy: City of Eagan
Record Number
Time
•
air
0 Am
Phone � , ` 3 ~.,
For information calk 651.470.2788
Obstruction
Unable to push past
feet
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition •
Final Cfeanout:
Pink Copy: SEH