3712 Ridgewood Dr - Inspection Form4 City of Fa
Residential Sanitary Sewer Service
Compliance Inspection
Date/ /
Name
l't
P1D Number
White Copy: Property Owner
o am
Time • C c.)
Disk #
Owner /OccuJant Signature
jr
3
MINIM
Record Number
House Number Street Name
Alternative Mailing Address
O am • Time S • _¢7'prn
F +'
Phocie l'
{
' y�, ✓"
,- `''inspector Signature
Compliance , /e t�� r�
No. foundation drain connection
No roof drain cormection -
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection '• -w 9 P
Damaged Pipe
Transition
4" to 6" Transition:
76//-1/
/ •
Non - Compliance
Service Lateral Inspection Findings Number of stacks %'
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
r
Length of Service:
Obstruction
Usable to push past
t feet
Entered S L. at ,;?, <, y�r y /`•,,Tr,�
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
For information call 651.470.2788
Yellow Copy: City of Eagan
'1/7'
Pink Copy: SEH
Total
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:,
'
--7
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1
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.1
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, # r
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7
.."71
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Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
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Foundation drains
t '�
Roof drains
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4 City of Fa
Residential Sanitary Sewer Service
Compliance Inspection
Date/ /
Name
l't
P1D Number
White Copy: Property Owner
o am
Time • C c.)
Disk #
Owner /OccuJant Signature
jr
3
MINIM
Record Number
House Number Street Name
Alternative Mailing Address
O am • Time S • _¢7'prn
F +'
Phocie l'
{
' y�, ✓"
,- `''inspector Signature
Compliance , /e t�� r�
No. foundation drain connection
No roof drain cormection -
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No sump pump
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection '• -w 9 P
Damaged Pipe
Transition
4" to 6" Transition:
76//-1/
/ •
Non - Compliance
Service Lateral Inspection Findings Number of stacks %'
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
r
Length of Service:
Obstruction
Usable to push past
t feet
Entered S L. at ,;?, <, y�r y /`•,,Tr,�
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
For information call 651.470.2788
Yellow Copy: City of Eagan
'1/7'
Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
Date f,1 , Time
Name. / "?
.s'11isk #
PID Number
House Number
Alternative Mailing Address
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
4" to 6 "Transition:
White Copy: Property Owner
Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
• pm
-L
" .
Phone
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Record Number
•
Time • _O pm
inspector Signature
Obstruction
Unable to push past
feet
Notes
Final Cleanout:
0 am
O Inspection
refused
No Access
No one in
0 Access`tdsdvie
lateral needed
Entered S.L at
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
- -
NM
Roof drains
-
Residential Sanitary Sewer Service
Compliance Inspection
Date f,1 , Time
Name. / "?
.s'11isk #
PID Number
House Number
Alternative Mailing Address
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
4" to 6 "Transition:
White Copy: Property Owner
Street Name
Owner /Occupant Signature
Service Lateral Inspection Findings
• pm
-L
" .
Phone
For information call 651.470.2788
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
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Record Number
•
Time • _O pm
inspector Signature
Obstruction
Unable to push past
feet
Notes
Final Cleanout:
0 am
O Inspection
refused
No Access
No one in
0 Access`tdsdvie
lateral needed
Entered S.L at
Yellow Copy: City of Eagan Pink Copy: SEH
Sump pumps
f s
l r.{
f
bm `
Foundation drains
` ,
Roof drains
1 City of Fa as
Residential Sanitary Sewer Service
Compliance Inspection
Date---J - F if f
Name,
PID Number
i
f
4" to 6 "Transition:
White Copy: Property Owner
Total
"4(10
am
Time , P �; • p
V Disk #
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
O No sump pump
Service Lateral Inspection Findings
f
House Number s ` n , Street Name r` ° °� ri
� ,
Alternative Mailing Address Phone :
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:
Number Discharged
Correctly Incorrectly Unknown
Yellow Copy: City of Eagan
Notes
i `I I
Record Number
am
pm
3
. P •
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks r ,: `_ Entered St. at ° ._ (1)
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
t�Final Cleanout:
a u 1
Pink Copy: SEH
s