4602 1_2 Ridge Cliffe Dr - Inspection FormCity of Cabo
Residential Sanitary Sewer Service
Compliance Inspection
Date C%' f e V/ /0 -
Name 2,1
Compliance
O No foundation drain connection
C 'No roof drain connection
A $
Q? '\$ump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
F 1
ownerlbccupant Signature
White Copy: Proper ty Owrrer
/ a 0 a
Time pm
Disk#
Alternative Mailing Address
Non - Compliance
O Clear water connections to
sanitary sewer
N . Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service: ./
Yellow Copy: City of Eagan
Record Number !� {
P1D Number
House Number < a- ie-'_ Street Name
Phone i <-
f
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
PoorPipejoints
Mineral Deposits
Sag /Pipe Deflection ,
Damaged Pipe
Transition NI 31 a- ( i ii , !! %'/ k l /!n
r.�
•
Time
o am
.� wpm
No Access
O No one in
O Access to service
lateral needed
Q Inspection
refused
Final Cleanout i�rfz'�t:% Li
Notes _- fivil4 ✓
ACT fr
1 M1
Pink Copy: SEH
Total
Number Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
t
/.. _-
Roof drains
City of Cabo
Residential Sanitary Sewer Service
Compliance Inspection
Date C%' f e V/ /0 -
Name 2,1
Compliance
O No foundation drain connection
C 'No roof drain connection
A $
Q? '\$ump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6 "Transition:
F 1
ownerlbccupant Signature
White Copy: Proper ty Owrrer
/ a 0 a
Time pm
Disk#
Alternative Mailing Address
Non - Compliance
O Clear water connections to
sanitary sewer
N . Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Length of Service: ./
Yellow Copy: City of Eagan
Record Number !� {
P1D Number
House Number < a- ie-'_ Street Name
Phone i <-
f
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S.L.at
Roots
PoorPipejoints
Mineral Deposits
Sag /Pipe Deflection ,
Damaged Pipe
Transition NI 31 a- ( i ii , !! %'/ k l /!n
r.�
•
Time
o am
.� wpm
No Access
O No one in
O Access to service
lateral needed
Q Inspection
refused
Final Cleanout i�rfz'�t:% Li
Notes _- fivil4 ✓
ACT fr
1 M1
Pink Copy: SEH