4699 Ridge Cliffe Dr - Inspection Forms411.
City of Ca as
Residential Sanitary Sewer Service
Compliance Inspection
Date ./I Z -7 / /c7 .Time 4;
Narne 77-&-1/471.-"/- `` i': Disk #
PID Number
o am
o pm
0
4/
House Number
Street Name
6-
7
Record Number
/ 2
Time
o am
•
>d,
Alternative Mailing Address
s 1i
i\% ` Owr)er7f c upant Signature
Phone ice / •
/) -7
f ,-Inspector Signature
For information call 651.470.2788
Compliance
f
"No foundation drain connection
40. No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Non -Compliance
0
O
0
O
0
Clear water connections to
sanitary sewer
Ser vice lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings
Roots
Number of stacks
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Entered St at
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
� ` i1 ./14 C%c f y,f 4.7S
Damaged Pipe
/
Transition '': //e/.4„
4_•
4" to 6"Transition:
Length of Service:
a/
Final Cleanout: //
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Notes
1
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Residential Sanitary Sewer Service
Datea / c7 i / /0
Cornpliance Inspection
;d• pam
Time •" pm
Namer/ /2///s
Disk #
PID Number e;
House Numberr
Street Name
Alternative Mailing Addre
Record Number
Time_
•
•
0 a
O pm
1PI)one', n.
OwnerlOccupant Signature
n
inspector Signature
For information call 651.470/788
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Non -Compliance
0
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Service Lateral Inspection Findings
Roots
Poor' Pipe joints
MiIReral Deposits
Sag/Pipe Deflection
Damaged Pipe
Flexible sump pump piping
Number of stacks
Obstruction
Unable to push past
feet.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at
Transition
•
4" to 'b"Transition:
Length of Service:
Final Cleanout:
Notes w �l ('T
_44-67
L -,. r
White Copy: Property Owner
Yellow Copy: City of Eagan Pink Copy: SEH
Number: Discharged
Correctly Incorrectly
Unknown
Total
Sump pumps
Foundation drains
Roof drains
Notes w �l ('T
_44-67
L -,. r
White Copy: Property Owner
Yellow Copy: City of Eagan Pink Copy: SEH
Residential Sanitary Sewer Service
Compliance Inspection
DateO f c7 i / /0
Name r / / /W
• r p am
Time ;d • p
Disk #
PID Number e;
House Number
Street Name
Alternative MailingAddr)s
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
R oots
4" to 'b " Transition:
White Copy: Property Owner
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
Pbor Pipe joints
,'
MiIReral Deposits
Sag /l?ipe Deflection .
Damaged Pipe
A �j q
Record Number
Time
' - / e 2 • J
n
Obstruction
Unable to push past
feet
Entered S.L.at
Transition
•
•
Notes w�
inspector Signature
For information call 651.470/788
Length of Service: Final Cleanout:
O am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
( 7 ,A,--67
Yellow Copy: City of Eagan Pink Copy: SEH
Number: Discharged
Correctly Incorrectly Unknown
Total
Sump pumps
Foundation drains
Roof drains
Residential Sanitary Sewer Service
Compliance Inspection
DateO f c7 i / /0
Name r / / /W
• r p am
Time ;d • p
Disk #
PID Number e;
House Number
Street Name
Alternative MailingAddr)s
OwnerlOccupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings
R oots
4" to 'b " Transition:
White Copy: Property Owner
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
Pbor Pipe joints
,'
MiIReral Deposits
Sag /l?ipe Deflection .
Damaged Pipe
A �j q
Record Number
Time
' - / e 2 • J
n
Obstruction
Unable to push past
feet
Entered S.L.at
Transition
•
•
Notes w�
inspector Signature
For information call 651.470/788
Length of Service: Final Cleanout:
O am
O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
( 7 ,A,--67
Yellow Copy: City of Eagan Pink Copy: SEH