4625 Ridge Cliffe Dr - Inspection Formilk— it DI Ea pp
Residential Sanitary Sewer Service
Compliance Inspection
Dated
Name J?4VD 4 , r,! le e ejf f Disk #
PID Number
House Number � /eZi Street Name e fJ/ f r
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
/'O No roof drain connection
Sump pit not connected to
1
sanitary sewer
0 Sump pump properly piped
No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
• O am
Time O� . y' • • r
6
Service Lateral Inspection Findings Number of stacks
Roots
Damaged Pipe 2
Transition 3 / -' Pc � / 21 / 94-<
J'
y 3 ! '
F
4" to 6" Transition:
White Copy: Property Owner
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 of Service:
{
Yellow Copy: City of Fagan
Record Number I
0
Time
p am
}Q' pm
'inspector Signature
Obstruction
Unable to push past
feet.
Entered S . at ... 7G1e
Final Cleanout: dip
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
..
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes - - i-,�.r , , ✓{7�,
se,
'
1 ,y�J !G
i
Total
Sump pumps
Foundation drains
Roof drains
Z
ElliEl
ilk— it DI Ea pp
Residential Sanitary Sewer Service
Compliance Inspection
Dated
Name J?4VD 4 , r,! le e ejf f Disk #
PID Number
House Number � /eZi Street Name e fJ/ f r
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
Compliance
0 No foundation drain connection
/'O No roof drain connection
Sump pit not connected to
1
sanitary sewer
0 Sump pump properly piped
No sump pump
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
• O am
Time O� . y' • • r
6
Service Lateral Inspection Findings Number of stacks
Roots
Damaged Pipe 2
Transition 3 / -' Pc � / 21 / 94-<
J'
y 3 ! '
F
4" to 6" Transition:
White Copy: Property Owner
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 of Service:
{
Yellow Copy: City of Fagan
Record Number I
0
Time
p am
}Q' pm
'inspector Signature
Obstruction
Unable to push past
feet.
Entered S . at ... 7G1e
Final Cleanout: dip
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
..
Pink Copy: SEH