4644 Ridge Cliffe Dr - Inspection Form41111. • Clt of Fa n
Residential Sanitary Sewer Service
Compliance Inspection
Date l / 1 G / b
Name //1] ? {..' C (? Disk #
PID Number
House Number Street Name
Compliance
O No foundation drain connection
N o roof drain connection
C Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
t
Time (1
Owner /Occupant Signature
Service Lateral Inspection Findings
4" to 6 "Transition: ,d1/
White Copy: Pt open ty Owner
/0 ,,ge
PM
z
0
Alternative Mailing Address
Length of Service:
c2
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
Phone tt7: 1 c. Z }'
i ii
Yellow Copy; City of Eagan
Record Number / c
• Crlam
Time :J : Li- O ram
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks / Entered S. at
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection6 7 ;
Damaged Pipe )
Transition.S /^r f " �v`I ,/� i te% J J( iyr
Final Cleanout: 14 - 4 `
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes . ,a-cJ (..-� ✓Af C;� -= .
f"� _ f ci` P/(: {( ) ie t, --- -' ,
f
... /1--'C) r ° f-, p ,° f,
c f ! - /C',a- _. 7„. u , li C
Total
Sump pumps
Foundation drains
Roof drains
El
z.57 _"MIMI
41111. • Clt of Fa n
Residential Sanitary Sewer Service
Compliance Inspection
Date l / 1 G / b
Name //1] ? {..' C (? Disk #
PID Number
House Number Street Name
Compliance
O No foundation drain connection
N o roof drain connection
C Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
t
Time (1
Owner /Occupant Signature
Service Lateral Inspection Findings
4" to 6 "Transition: ,d1/
White Copy: Pt open ty Owner
/0 ,,ge
PM
z
0
Alternative Mailing Address
Length of Service:
c2
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
Phone tt7: 1 c. Z }'
i ii
Yellow Copy; City of Eagan
Record Number / c
• Crlam
Time :J : Li- O ram
inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Number of stacks / Entered S. at
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection6 7 ;
Damaged Pipe )
Transition.S /^r f " �v`I ,/� i te% J J( iyr
Final Cleanout: 14 - 4 `
Pink Copy: SEH