4631 Ridge Cliffe Dr - Inspection FormsCit Y of Lip]
]
Residential Sanitary Sewer Service
Compliance Inspection
Date 04"/ / / /` 7
Name 9'-!'x /G = /V
Alternative Mailing Address
Compliance
O No foundation drain connection
Pte
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition: 4/2_
White Copy: Property Owner
Tl m e a/ 7 C ) o PM
Disk #
Service Lateral Inspection Findings
Roots
PID Number
House Number 2 /1/ Street Name
0 ner /Occupant Signature •--
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection 5 ? J �
Damaged Pipe
Transition t ` , �fi _ � ° /2(/C / 7 °
I ///2
I
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
Yellow Copy: City of Eagan
Record Number
c
Ph n '
s ( ,_., r�rr ✓l
Inspector Signature
r
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Number of stacks i Entered St, at
pam
Time � � � O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service:: y`' Final Cleanout:�/��.
r
Pink Copy: SEH
Number Discharged
Notes
'
Total
Correctly
Incorrectly
Unknown
_ w '
_ .
1 Jr'
(��'✓ . 4 f� f �, c�. �, � �
(Ai O'ier
t
4 � l r. : =
Sump pumps
__.,_•.-
_ — '
Foundation drains
r '
Roof drains
-- ,- ___..
_____.,..._._._..___...
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Cit Y of Lip]
]
Residential Sanitary Sewer Service
Compliance Inspection
Date 04"/ / / /` 7
Name 9'-!'x /G = /V
Alternative Mailing Address
Compliance
O No foundation drain connection
Pte
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition: 4/2_
White Copy: Property Owner
Tl m e a/ 7 C ) o PM
Disk #
Service Lateral Inspection Findings
Roots
PID Number
House Number 2 /1/ Street Name
0 ner /Occupant Signature •--
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection 5 ? J �
Damaged Pipe
Transition t ` , �fi _ � ° /2(/C / 7 °
I ///2
I
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
Yellow Copy: City of Eagan
Record Number
c
Ph n '
s ( ,_., r�rr ✓l
Inspector Signature
r
For information call 651.470.2788
Obstruction
Unable to push past
feet.
Number of stacks i Entered St, at
pam
Time � � � O pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Length of Service:: y`' Final Cleanout:�/��.
r
Pink Copy: SEH
40 1 0 —
Cif of lap
Residential Sanitary Sewer Service
Compliance Inspection
Date -Si 2 1 l:/
�:; .'�i�'i�
Name yF! Disk #
PID Number
f r _„ .
House Number c / Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
/ C • �v3`am
Time �- /f•- 'C�opm
OwnertO cupant Signature
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
15A- l rA..54
Record Number.
-
c
Time
f✓ _�,) .
Phone ' ?-r '.1� -- / 7'
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection,
Damaged Pipe
Transition
Length of Service: Final Cleanout:
Notes h r
/y
Inspector Signature
•
•
oam
O prr
No Access
O No one in
c i
Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Fagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
MI
Unknown
Sump pumps
Foundation drains
Roof drains
MIMI
40 1 0 —
Cif of lap
Residential Sanitary Sewer Service
Compliance Inspection
Date -Si 2 1 l:/
�:; .'�i�'i�
Name yF! Disk #
PID Number
f r _„ .
House Number c / Street Name
Alternative Mailing Address
Compliance
O No foundation drain connection
O No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
White Copy: Proper ty Owner
/ C • �v3`am
Time �- /f•- 'C�opm
OwnertO cupant Signature
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
15A- l rA..54
Record Number.
-
c
Time
f✓ _�,) .
Phone ' ?-r '.1� -- / 7'
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection,
Damaged Pipe
Transition
Length of Service: Final Cleanout:
Notes h r
/y
Inspector Signature
•
•
oam
O prr
No Access
O No one in
c i
Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Fagan Pink Copy: SEH