4697 Ridge Cliffe Dr - Inspections Formcit or ti,aan
Residential Sanitary Sewer Service
Compliance Inspection
Date •
/ )( •
Name 4 , 7 Disk #
PD Number
House Number
----
Alternative ailin Accir
For information call 651.4702788
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 Inspection Findings Number of stacks _
Roots
Poor Pipe joints
Mineral Deposits
4" to 6"Transition:
SS
White Copy: Property Owner
"7-)• C-?....<:7 9, am
Time • A pm
/ Street Name
rlOccpant Signature
Non-Compliance
1ATime
1
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Sag/Pipe Deflection
Damaged Pipe
I ) A
Transition a_ I)
(VC? r(
Length-ef-Srers4ee4-.
Yellow Copy: City of Eagan
Record Number
Phone (..-7
/7;
Obstruction
inspector Signature
Entered S L at
. -
Final Cleanout:
•
• m
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Nunober
Correctly
Discharged -
Total
Incorrectly
Unknown
..., ,-
- :7) '--/ 1 • -:-. 7 - -.. ...-7 . '/L..
i /".
Sump pumps
____
961) ,,,..
--
.. /L..--
Foundation drains
Roof drains
,---\
._..„/
cit or ti,aan
Residential Sanitary Sewer Service
Compliance Inspection
Date •
/ )( •
Name 4 , 7 Disk #
PD Number
House Number
----
Alternative ailin Accir
For information call 651.4702788
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 Inspection Findings Number of stacks _
Roots
Poor Pipe joints
Mineral Deposits
4" to 6"Transition:
SS
White Copy: Property Owner
"7-)• C-?....<:7 9, am
Time • A pm
/ Street Name
rlOccpant Signature
Non-Compliance
1ATime
1
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Sag/Pipe Deflection
Damaged Pipe
I ) A
Transition a_ I)
(VC? r(
Length-ef-Srers4ee4-.
Yellow Copy: City of Eagan
Record Number
Phone (..-7
/7;
Obstruction
inspector Signature
Entered S L at
. -
Final Cleanout:
•
• m
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH