4604 Ridge Cliffe Dr - Inspection Formcity or Ufa au
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date) )- I_
Name r __
PID Number
Compliance
4" to 6 " Transition:
House Number «(`
Alternative Mailing Address
White Copy: Property Owner
Time
Disk #
Owner /occupant Signature
• 0 am
• pm
/ i J
Street Name
Damaged Pipe
Transition ,14-
1 � 4 - - r r /) /? - -
Non - Compliance
O No foundation drain connection 0 Clear water connections to
' No roof drain connection sanitary sewer
0 Service lateral defects
c Sump pit not connected to
0 `
sanitary sewer 0 Defective manholes
0 Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
H of Sec.. =. ) )
Record Number �1
0 am
• pm
�� [TirneH3
v
1
i -)
Phone 5
Inspect Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 4 Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Final Cleanout: r 7 S
Yellow Copy: City of Eagari " Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Not j j i �.
C47 I/1 rev'' "'I) f . � c- ci.,:
1
' i f1
�l _,
I2i2' ,1 - . r - "r K)
-� , f : ->r _.`, _, r Vii' "
Total
Sump pumps
» G
.`
' (3 r 0,
i
Foundation drains
Roof drains
f
ri
city or Ufa au
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date) )- I_
Name r __
PID Number
Compliance
4" to 6 " Transition:
House Number «(`
Alternative Mailing Address
White Copy: Property Owner
Time
Disk #
Owner /occupant Signature
• 0 am
• pm
/ i J
Street Name
Damaged Pipe
Transition ,14-
1 � 4 - - r r /) /? - -
Non - Compliance
O No foundation drain connection 0 Clear water connections to
' No roof drain connection sanitary sewer
0 Service lateral defects
c Sump pit not connected to
0 `
sanitary sewer 0 Defective manholes
0 Sump pump connected to sanitary
O Sump pump properly piped sewer
O No sump pump 0 Flexible sump pump piping
H of Sec.. =. ) )
Record Number �1
0 am
• pm
�� [TirneH3
v
1
i -)
Phone 5
Inspect Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks 4 Entered S L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Final Cleanout: r 7 S
Yellow Copy: City of Eagari " Pink Copy: SEH