4671 Ridge Cliffe Dr - Inspection FormCity of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
1 ) O
Date .�- F� 1 1 , �
Name
PID Number
House Number () Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
/ No roof drain connection
0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time
Number of stacks
Roots
Service Lateral Inspection Findings
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition r �Ca i
4" to 6" Transition:
White Copy: Property Owner
Disk #
•� �� o am
• pm
f
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 -ef Service' 7 .
Yellow Copy: City of Eagan
Record Number
•
Time •
' �y7 I c __jj f c =2
f T
Phone 7---
/ 2 )
Obstruction
Unable to push past
feet
Inspector Signature
- am
Entered S.L.at r •
pm
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
r 1
Final Cleanout :..
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notgs
A 1 - y _
�' �� / l �'! ` ` :',' ,1
, % __5 6. :-.:, . -4-- %: ..lc � % .
Total
Sump pumps
mo ' I-
f ' - —
Foundation drains
-111111
Roof drains
City of Ea a
Residential Sanitary Sewer Service
Compliance Inspection
1 ) O
Date .�- F� 1 1 , �
Name
PID Number
House Number () Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
/ No roof drain connection
0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Time
Number of stacks
Roots
Service Lateral Inspection Findings
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition r �Ca i
4" to 6" Transition:
White Copy: Property Owner
Disk #
•� �� o am
• pm
f
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 -ef Service' 7 .
Yellow Copy: City of Eagan
Record Number
•
Time •
' �y7 I c __jj f c =2
f T
Phone 7---
/ 2 )
Obstruction
Unable to push past
feet
Inspector Signature
- am
Entered S.L.at r •
pm
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
r 1
Final Cleanout :..
Pink Copy: SEH