4670 Ridge Cliffe Dr - Inspection Form441
Cit of hp
y
Residential Sanitary Sewer Service
Compliance Inspection
Date O '/1 �.�!i' 1 /0
Name 7J"f :1
PID Number
House Number 0
Alternative Mailing Address
For information call 651.470.2788
Compliance
t
o� No foundation drain connection
bj No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
Damaged Pipe '4 /
Transition /rv'
4” to 6 "Transition:
White Copy: Proper ty Owner
p am
Time / _ o pm
Disk #
Street Name
Owner /Occupant Signature
Non - Compliance
0
0
O
0
0
0
1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
E
Service Lateral Inspection Findings Number of stacks
Roots 7f
r
Poor Pipe joints
Mineral Deposits
1 ,r
ttSS /Sd'
� .
Length of Service: / 6)07 . 7 _
Yellow Copy: City of Fagan
Record Number 1S Time 1g: Sr ,g (Pm
Phone ; / ,F -97_7
X ✓ ' 7 7' i- inspector � Signature
Obstruction
Unable to push past
feet
No Access
O No one in
Entered S L. at t 6' :-
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:/ v o,, , ,,
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes �,! ✓��i d! f,rd „,r °i° ,% ; ,r
7 / f °_ ; i~ / JZ , �„
t.iJ
fJ
SJ // iw
/
��. e }� ` / y� --NN .L-
111 o GJGI c 1 -v.� r
. .
Total
Sump pumps'
Foundation drains
a
Roof drains
—
° °
441
Cit of hp
y
Residential Sanitary Sewer Service
Compliance Inspection
Date O '/1 �.�!i' 1 /0
Name 7J"f :1
PID Number
House Number 0
Alternative Mailing Address
For information call 651.470.2788
Compliance
t
o� No foundation drain connection
bj No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
Damaged Pipe '4 /
Transition /rv'
4” to 6 "Transition:
White Copy: Proper ty Owner
p am
Time / _ o pm
Disk #
Street Name
Owner /Occupant Signature
Non - Compliance
0
0
O
0
0
0
1
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
E
Service Lateral Inspection Findings Number of stacks
Roots 7f
r
Poor Pipe joints
Mineral Deposits
1 ,r
ttSS /Sd'
� .
Length of Service: / 6)07 . 7 _
Yellow Copy: City of Fagan
Record Number 1S Time 1g: Sr ,g (Pm
Phone ; / ,F -97_7
X ✓ ' 7 7' i- inspector � Signature
Obstruction
Unable to push past
feet
No Access
O No one in
Entered S L. at t 6' :-
O Access to service
lateral needed
O Inspection
r efused
Final Cleanout:/ v o,, , ,,
Pink Copy: SEH