4663 Ridge Cliffe Dr - Inspection Form4 11111 ` . City or tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date fl 1 ,fir
Name , / J "L- , rtt if Disk #
PFD Number
House Number -r Street Name
Alternative Mailing Address
Roots
A
4" to 6 "Transition: A.f .4
White Copy: Property Owner
Time
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
No sump pump
• , am
•�'v O pm
Service Lateral Inspection Findings
0
For information call 651 .470.2788
Non - Compliance
0
0
O
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer.
Flexible surnp pump piping
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection ,fib "- ; - 0 Pf 72i6
I
Yellow Copy: City of Eagan
1
Record Number : t.
t7
s.�
Length of Service: - .-
J�'
Phone e < Z-C - ;"5 " �
• -� Efam
Time 7 •..,`� 0 P
t ":
i inspector Signature
Obstruction
Unable to push past
feet
Number. of stacks 1 Entered S at � t'!'`,:-y '
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Damaged Pipe
Transition L 1 ,, ✓ (. / r ' o ) % . 7 Cr
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes •'
�^� % � "' s " r °? 7
( , t ,
/'.c_ , . f-t.rr , c:, C.A ti_
>°� -e�� , u /De Via
. l r'
Total
Sump pumps
Foundation drains
Roof drains
✓.
�. .
4 11111 ` . City or tap]
Residential Sanitary Sewer Service
Compliance Inspection
Date fl 1 ,fir
Name , / J "L- , rtt if Disk #
PFD Number
House Number -r Street Name
Alternative Mailing Address
Roots
A
4" to 6 "Transition: A.f .4
White Copy: Property Owner
Time
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
No sump pump
• , am
•�'v O pm
Service Lateral Inspection Findings
0
For information call 651 .470.2788
Non - Compliance
0
0
O
0
0
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer.
Flexible surnp pump piping
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection ,fib "- ; - 0 Pf 72i6
I
Yellow Copy: City of Eagan
1
Record Number : t.
t7
s.�
Length of Service: - .-
J�'
Phone e < Z-C - ;"5 " �
• -� Efam
Time 7 •..,`� 0 P
t ":
i inspector Signature
Obstruction
Unable to push past
feet
Number. of stacks 1 Entered S at � t'!'`,:-y '
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Damaged Pipe
Transition L 1 ,, ✓ (. / r ' o ) % . 7 Cr
Final Cleanout:
Pink Copy: SEH