4647 Ridge Cliffe Dr - Inspection FormCity or Asa
Y p.as
Residential Sanitary Sewer Service
Compliance Inspection
�• o ' Date Cie/ Cie/ 7/ 1 /0 Time OP: -- o ' pam m
Name J77 /i :~ � Disk #
PID Number
House Number 9,47 7 Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
t 01. - No roof drain connection
0 /Sump pit not connected to
.sanitary sewer
O Sump pump properly piped
if No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
0
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
Record Number -'
• r am
Time c) • o prn
Phone - ?/ 4 1// / 2
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
Number of stacks
� l= ntered S.L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
/aa
L
Mineral Deposit —2,7
°'/ GCCi4 (
SaglPipe Deflection //, — Z Z -
Damaged Pipe
i
f ,l
Transition ` I ?,v 4! �i J " .�, v i .£ ;, (.s 1, C. % / .. -t7. _g c-
- j1J /2iC / / -.
4" to 6" Transition: /i A
Length of Service: /o Final Cleanout: (✓ „��.
Yellow Copy: City of Eagan
/
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly
Unknown
Notes .:
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Sump pumps
Foundation drains
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-- --
Roof drains
City or Asa
Y p.as
Residential Sanitary Sewer Service
Compliance Inspection
�• o ' Date Cie/ Cie/ 7/ 1 /0 Time OP: -- o ' pam m
Name J77 /i :~ � Disk #
PID Number
House Number 9,47 7 Street Name
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
t 01. - No roof drain connection
0 /Sump pit not connected to
.sanitary sewer
O Sump pump properly piped
if No sump pump
Service Lateral Inspection Findings
White Copy: Property Owner
0
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
Record Number -'
• r am
Time c) • o prn
Phone - ?/ 4 1// / 2
Inspector Signature
For information call 65 1.470.2788
Obstruction
Unable to push past
feet
Number of stacks
� l= ntered S.L at
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
/aa
L
Mineral Deposit —2,7
°'/ GCCi4 (
SaglPipe Deflection //, — Z Z -
Damaged Pipe
i
f ,l
Transition ` I ?,v 4! �i J " .�, v i .£ ;, (.s 1, C. % / .. -t7. _g c-
- j1J /2iC / / -.
4" to 6" Transition: /i A
Length of Service: /o Final Cleanout: (✓ „��.
Yellow Copy: City of Eagan
/
Pink Copy: SEH