4614 Ridge Cliffe Dr - Inspection FormsAO.
City of Cain
Residential Sanitary Sewer Service
Compliance Inspection
Date
/7/ / Time
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Name
A �...J C) ` / L Disk #
PID Number 1
House Number e ` `� Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
0
O
0
O
0
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
• Oam
• Q pm
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
r
Length of Service:
Yellow Copy: City of Fagan
Record Number
Phone
J
/ _ A/e, C ' /&
Time
f Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at
•
•
Final Cleanout:
o am
O pm
No Access
No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Notes
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,: - 2 i tf
77;i:-14-.!A?
r
j1 ca d i - ' "
Total
Sump pumps
Foundation drains
Roof drains
--
AO.
City of Cain
Residential Sanitary Sewer Service
Compliance Inspection
Date
/7/ / Time
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Name
A �...J C) ` / L Disk #
PID Number 1
House Number e ` `� Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call 651.470.2788
0
O
0
O
0
Service Lateral Inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
• Oam
• Q pm
Non - Compliance
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks
r
Length of Service:
Yellow Copy: City of Fagan
Record Number
Phone
J
/ _ A/e, C ' /&
Time
f Inspector Signature
Obstruction
Unable to push past
feet
Entered S L at
•
•
Final Cleanout:
o am
O pm
No Access
No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH