4681 Ridge Cliffe Dr - Inspection FormsResidential Sanitary Sewer Service
Compliance Inspection
Date 1T I
Name
PID Number
Street Name i - ` f; i`-�
Alternative Mailing Address Phone r ) " r 1 / / ., a C" / 1
House Number
1 2•:( am
Time �.., � pm
Disk #
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Properry Owner
Non - Compliance
0
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number -
Time
O am
•
O pm
)C
Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Access to service
lateral needed
O Inspection
refused
Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH
Number Discharged .
Notes
�� _ I r r
t (f - - fj
r
----"Tv . i _:;;;:-..,.-e7")--..-..,:,1
Total Correctly Incorrectly Unknown
Sump pumps
---
Foundation drains
Roof drains
MIN zs ,, % ,/ it
Residential Sanitary Sewer Service
Compliance Inspection
Date 1T I
Name
PID Number
Street Name i - ` f; i`-�
Alternative Mailing Address Phone r ) " r 1 / / ., a C" / 1
House Number
1 2•:( am
Time �.., � pm
Disk #
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
4" to 6" Transition:
White Copy: Properry Owner
Non - Compliance
0
O
O
O
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number -
Time
O am
•
O pm
)C
Inspector Signature
Obstruction No Access
Unable to push past 0 No one in
feet
Access to service
lateral needed
O Inspection
refused
Entered S.L.at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH
Sump pumps
4
z° �t
)_1
}�`��
/1
/
/
Foundation drains
Roof drains
City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date • l 1 )c9 Time : p
Name t W )4' J r � isk #
PID Number
House Number
Alternative Mailing Address
I Street Name
OwnerlOccupant Signature
a
For information call 651.470.2788
Compliance
O No foundation drain connection
/ No roof drain connection
/ (ii , Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Mineral Deposits
( Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Proper Owner
Non - Compliance
Service Later I ion Findings Number of stacks Entered S L at
Roots .1
Poor Pipe Joints
— f
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
-- 4,4- -
i 1 1
e of tee" 1 - Final Cleanout: ` ' 4
Number Discharged
Total Correctly Incorrectly Unknown
Record Number
Obstruction
/I
o am
fs
)
Phone
Inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Note
Yellow Copy: City of Eagan Pink Copy: SEH