4654 Ridge Cliffe Dr - Inspection Form1 � o[R tarp
Residential Sanitary Sewer Servic
Compliance Inspection
Date 5/� / 4;?
Name /2, /'f' ' -/ (1;4'/
PID Number
House Number
Alternative Mailing Address
i
For information call 651.470:2788
Compliance
O No foundation drain connection
No roof drain connection
r
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Damaged Pipe
v/ A (,,s
Transition
4" to 6" Transition:
Owner /Occuant Signature
r
/A
White Copy: Property Owner
Time • 6
Disk #
C;)
Street Name
Phone . ff, 37c O
' f
Non - Compliance
O Clean water connections to
sanitary sewer'
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral inspection Findings Number of stacks 1 Entered S,L at _ 7.21
Roots 6
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Tg`!`.. r
d
Length of Service:
t it ,„
Yellow Copy: City of Eagan
Record Number _S T
I
Time
P
•
• -
Inspector Signature
Obstruction
Unable to push past
feet
am
=E7 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes — .61v1Z-v,
Pink Copy: SEH
Number Discharged
Total
Correctly
MEM
Incorrectly Unknown
111111.111111
Sump pumps
r
,
Foundation drains
Roof drains
1 � o[R tarp
Residential Sanitary Sewer Servic
Compliance Inspection
Date 5/� / 4;?
Name /2, /'f' ' -/ (1;4'/
PID Number
House Number
Alternative Mailing Address
i
For information call 651.470:2788
Compliance
O No foundation drain connection
No roof drain connection
r
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Damaged Pipe
v/ A (,,s
Transition
4" to 6" Transition:
Owner /Occuant Signature
r
/A
White Copy: Property Owner
Time • 6
Disk #
C;)
Street Name
Phone . ff, 37c O
' f
Non - Compliance
O Clean water connections to
sanitary sewer'
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service Lateral inspection Findings Number of stacks 1 Entered S,L at _ 7.21
Roots 6
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Tg`!`.. r
d
Length of Service:
t it ,„
Yellow Copy: City of Eagan
Record Number _S T
I
Time
P
•
• -
Inspector Signature
Obstruction
Unable to push past
feet
am
=E7 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
Notes — .61v1Z-v,
Pink Copy: SEH