4618 1_2 Ridge Cliffe Dr - Inspection FormCity of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 45 / /6 Time
Name A (Ze-v /WC
Disk #
PO Number
47/11 .
House Number 6 .� ' r Street Name
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
, Q No sump pump
4" to 6" Transition:
White Copy: Property Owner
• 0 am
• 0-pm
0
3
Alternative Mailing Address / A / 7A P° ( °'
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:i ='
Yellow Copy: City of Eagan r.z //'
>1
Record Number °
Time
•
Phone ' / • /
Vi
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
o am
Wpm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks i Entered S L at . - 7
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pi p
Transition I A f V A 1
Final Cleanout:44,1 1144
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes G-. /t/ ,,�v-�,r '_c °- -1 •
3 , 7 b /s ue
Jr �� Mfr r_ G�
� 'r 4/✓ - ek c °
i'
Zion }) ' /
. 4 T l /, C..,4 -( (6S7) (-77 =` ;iV-:
fi / . ' r i
Total
Sump pumps
D SO - 7
(7
/ti-:
Foundation drains
Roof drains
in
` ,-.-e " . / r 0 ' v
City of Capp
Residential Sanitary Sewer Service
Compliance Inspection
Date 1 45 / /6 Time
Name A (Ze-v /WC
Disk #
PO Number
47/11 .
House Number 6 .� ' r Street Name
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
, Q No sump pump
4" to 6" Transition:
White Copy: Property Owner
• 0 am
• 0-pm
0
3
Alternative Mailing Address / A / 7A P° ( °'
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:i ='
Yellow Copy: City of Eagan r.z //'
>1
Record Number °
Time
•
Phone ' / • /
Vi
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
o am
Wpm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks i Entered S L at . - 7
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pi p
Transition I A f V A 1
Final Cleanout:44,1 1144
Pink Copy: SEH