4658 Ridge Cliffe Dr - Inspection FormCity f Ea as
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date \-7.:1 f 1
Name `--- , a ��
Alternative Mailing Address
4" to 6" Transition:
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
Time
PID Number
/
House Number r V) ,, _Street Name
/ '1 { '
r
r Owner /Occupant Signature
For information call 651.470.2788
Service Lateral Inspection Findings
Disk #
Non - Compliance
0
O
O
0
0
am
• o pm
J
J
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number' of stacks Entered S. _ at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe t )
l i
Transition 4'
Record Number
Phone
'•
Time •
Obstruction
Unable to push past
feet
am
0 pm
///'
Inspector Signature
No Access
O No one in
Leagtl Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
White Copy: Proper ty Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Notes
rif 1 'l% i'/ af - ; C— L ��'d 'r ' G C l ;~(�
�—
Number
Correctly
Discharged.
incorrectly
Unknown
Sump pumps
- °
,r Tow
Foundation drains
Roof drains
'
City f Ea as
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date \-7.:1 f 1
Name `--- , a ��
Alternative Mailing Address
4" to 6" Transition:
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
Time
PID Number
/
House Number r V) ,, _Street Name
/ '1 { '
r
r Owner /Occupant Signature
For information call 651.470.2788
Service Lateral Inspection Findings
Disk #
Non - Compliance
0
O
O
0
0
am
• o pm
J
J
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number' of stacks Entered S. _ at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe t )
l i
Transition 4'
Record Number
Phone
'•
Time •
Obstruction
Unable to push past
feet
am
0 pm
///'
Inspector Signature
No Access
O No one in
Leagtl Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
White Copy: Proper ty Owner
Yellow Copy: City of Eagan
Pink Copy: SEH