4624 Ridge Cliffe Dr - Inspection FormEity of } ap ui
Residential Sanitary Sewer Service
Compliance Inspection
m
Date 0 q • F1` "a
- Time /" • • S o a m
-� 7 1 ? & ,/ , 1 -1'-e2,),, ,, -Z..6 4 / Disk #
Name
PID Number
Ili
House Number r Street Name
Alternative Mailing Address Phone Z'l t;
>
—
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
i ci Sump pit not connected to
1
sanitary sewer
O Sump pump properly piped
40 No sump pump
Service J- ;feral 1 spection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 1 I�`� i � I . -5
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
A/
0
0
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
Length of Service: _5_5 - ..
Yellow Copy: City of Eagan
Record Number
Time J
J
7 /Inspector Signature
Obstruction
Unable to push past
feet
V oam
'pm
EnteredS.L.at '% C
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:,�
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes P,/'4",,t.ro ,, ' �'/.. f: ,-7
. U Fr _.
.1 �'^T 1 7 01.--.-
f —Art) /
r rJ / X1,.1 (i,7 " � <-
c� 7 P " ^� _
Total
Sump pumps
Foundation drains
Roof drains
17-, ,"
\ \
r
Eity of } ap ui
Residential Sanitary Sewer Service
Compliance Inspection
m
Date 0 q • F1` "a
- Time /" • • S o a m
-� 7 1 ? & ,/ , 1 -1'-e2,),, ,, -Z..6 4 / Disk #
Name
PID Number
Ili
House Number r Street Name
Alternative Mailing Address Phone Z'l t;
>
—
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
i ci Sump pit not connected to
1
sanitary sewer
O Sump pump properly piped
40 No sump pump
Service J- ;feral 1 spection Findings
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 1 I�`� i � I . -5
4" to 6" Transition:
White Copy: Property Owner
OwnerlOccupant Signature
A/
0
0
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
Length of Service: _5_5 - ..
Yellow Copy: City of Eagan
Record Number
Time J
J
7 /Inspector Signature
Obstruction
Unable to push past
feet
V oam
'pm
EnteredS.L.at '% C
f
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:,�
Pink Copy: SEH