4648 Ridge Cliffe Dr - Inspection FormCity of Ealau
Residential Sanitary Sewer Service
Compliance Inspection
Date / ..
Name �' Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
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
Roots
4" to b "Transition:
White Copy: Proper ty Owner
Time
Street Name
Owner /Ocjbant Signature
Non - Compliance
0
O
O
O
0
•
am
' pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
/VW
,L.epgt of Ser ea
Yellow Copy: City of Eagan
Record Number
1
r Inspector Signature
Obstruction
Unable to push past
feet
am
Time • o pm
•SO
Phone `- - !7_ /%
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L.at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
;1
Transition
�ij r6
Final Cleanout r'
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
/� �
! ' f �t y ` � i) r t
"' - _ . ; - `� , r , .:;
Total
Sump pumps
•_ , L? -.7
--5T.
.-.
PO </ !'il
Foundation drains
(
Roof drains ()'
City of Ealau
Residential Sanitary Sewer Service
Compliance Inspection
Date / ..
Name �' Disk #
PID Number
House Number
Alternative Mailing Address
For information call 651.470.2788
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
Roots
4" to b "Transition:
White Copy: Proper ty Owner
Time
Street Name
Owner /Ocjbant Signature
Non - Compliance
0
O
O
O
0
•
am
' pm
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
/VW
,L.epgt of Ser ea
Yellow Copy: City of Eagan
Record Number
1
r Inspector Signature
Obstruction
Unable to push past
feet
am
Time • o pm
•SO
Phone `- - !7_ /%
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L.at
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
;1
Transition
�ij r6
Final Cleanout r'
Pink Copy: SEH