4621 Ridge Cliffe Dr - Inspection FormCity of Elan
Residential Sanitary Sewer Service
Compliance Inspection
Date_
Name C.✓,. 1- ) Y /T - °)i Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral In specti.on Findings
Roots "'.. � C � -�- � � a�.�,� -, -, � . ,
4" to 6" Transition:
White Copy: Property Owner
3 ;ten• t (am
Time 1( i !p p
�} Street Name
OwnerlOccupant Signature
)
AL
Non - Compliance
O Clear water connections CO
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
- )Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
.7!•
fir •
97'
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L at
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH
1
Total
Notes
? i ( , i r / /- /'i
} l
f j
':. 4 f
_
f
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
''' / . _
"/
Foundation drains
I �
Roof drains
. '
City of Elan
Residential Sanitary Sewer Service
Compliance Inspection
Date_
Name C.✓,. 1- ) Y /T - °)i Disk #
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral In specti.on Findings
Roots "'.. � C � -�- � � a�.�,� -, -, � . ,
4" to 6" Transition:
White Copy: Property Owner
3 ;ten• t (am
Time 1( i !p p
�} Street Name
OwnerlOccupant Signature
)
AL
Non - Compliance
O Clear water connections CO
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
- )Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Record Number
Time
Phone
.7!•
fir •
97'
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Entered S.L at
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Final Cleanout:
Pink Copy: SEH
1