4616 Ridge Cliffe Dr - Inspection Form° ___ °`--. ;
• Number Discharged
Notts
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Total
Correctly
Incorrectly
Unknown
Sump pumps
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Foundation drains
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Roof drains
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4110-
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Residential Sanitary Sewer. Service
Compliance Inspection
Date 1,1
Name I
PID Number
House Number Ij s Street Name
Alternative Mailing Address
Damaged Pipe
Transition ,i-4
4" to 6 "Transition:
1 ? ? 1,�1 Disk #
White Copy: Property Owner
Time � `'J am
pm
i_.
Owner /Occupant Signature
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
MIME
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
MI=
Yellow Copy: City of Eagan
Record Number
II Time
Inspe ctor Signature
For information call 651.470.2788
Service Lateral inspection Findings Number of stacks Entered S.L.at
Roots 1
Poor Pipe Joints . _) ii-- -7 ✓ ✓" J a� �� ° .� _./ ! �
Mineral Deposits �, _r" , t ..• j � r ,- I 'f-
Sag/Pipe Deflection / .' . ° i7� X . Vl -. %!
Phone (5-) .) 'I/
Obstruction No Access
Unable to push past 0 No one in
feet.
Length of Service: /1 '.:� ? f,„ rfP
L.
1f am
0 pm
O Access to service
lateral needed
O Inspection
refused
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Pink Copy: SEH