4683 Ridge Cliffe Dr - Inspection FormCity f Cagan
� o
Residential Sanitary Sewer Service
Compliance Inspection
1 ' 1 ) ;7;
k/_ n
Name : s' '���/� j
Date
PID Number
l am' 57
House Number !� . Street Name
Compliance
No foundation drain connection
No roof drain connection
r ..
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
OwnerlOccupant Signature
Service Lateral Inspection Findings
Roots P° �-- ,: 2
, -
4" to 6 "Transition:
White Copy: Property Owner
Time 4 • am
•
Disk #
O pm
( �7
Number of stacks
ye i
j 1 1
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
Yellow Copy: City of Eagan
Record Number
Alternative Mailing Address
Length of Service:
Phone
• J 'Tem
Time • O pm
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L. at
For information call 651.470.2788
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 �
!t`
Final Cleanout:''
Notes
._kr-(),
Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
_ _ '
._._
i
f
r
Foundation drains
Roof drains
City f Cagan
� o
Residential Sanitary Sewer Service
Compliance Inspection
1 ' 1 ) ;7;
k/_ n
Name : s' '���/� j
Date
PID Number
l am' 57
House Number !� . Street Name
Compliance
No foundation drain connection
No roof drain connection
r ..
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
OwnerlOccupant Signature
Service Lateral Inspection Findings
Roots P° �-- ,: 2
, -
4" to 6 "Transition:
White Copy: Property Owner
Time 4 • am
•
Disk #
O pm
( �7
Number of stacks
ye i
j 1 1
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
Yellow Copy: City of Eagan
Record Number
Alternative Mailing Address
Length of Service:
Phone
• J 'Tem
Time • O pm
Inspector Signature
Obstruction
Unable to push past
feet
Entered S. L. at
For information call 651.470.2788
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 �
!t`
Final Cleanout:''
Notes
._kr-(),
Pink Copy: SEH