4617 Ridge Cliffe Dr - Inspection FormCity o I R Il
Residential Sanitary Sewer Service
Compliance Inspection
Date / 1 am
Time • �` pm
Name l }I Disk #
c-
P1D Number
House Number 3 . > ; Street Name
/
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
1 Sump pit not connected to
1 sanitary sewer
O Sump pump properly piped
O No sump pump
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
4" to 6 "Transition:
) � � t �� j l
/ Owner /Occupant Signature
White Copy: Proper Owner
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
r 6-
`' ° 77
Time
Phone f
Inspector Signature
For information call 651:47
Obstruction
Unable to push past
feet
l
/0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks
p g � Entered S,L.at �' I `��' , .._ r
J f / �
Damaged Pipe /.--)
Transition_?::..x
i
)7 r e
Final Cleanout: I , 5- /
Pink Copy: SEH
11
Total
Note#
/l
, i _
Inc /
!� I � /
. J 7 `".
(
i
2
- 20 ,
! 1
/ + , r__Z /..
•
� t 6
'57 1
�,.. C "'%7)
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
j a
0.
} ."
f �i'�
Foundation drains
Roof drains
/`
City o I R Il
Residential Sanitary Sewer Service
Compliance Inspection
Date / 1 am
Time • �` pm
Name l }I Disk #
c-
P1D Number
House Number 3 . > ; Street Name
/
Alternative Mailing Address
Compliance
O No foundation drain connection
No roof drain connection
1 Sump pit not connected to
1 sanitary sewer
O Sump pump properly piped
O No sump pump
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
4" to 6 "Transition:
) � � t �� j l
/ Owner /Occupant Signature
White Copy: Proper Owner
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
r 6-
`' ° 77
Time
Phone f
Inspector Signature
For information call 651:47
Obstruction
Unable to push past
feet
l
/0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks
p g � Entered S,L.at �' I `��' , .._ r
J f / �
Damaged Pipe /.--)
Transition_?::..x
i
)7 r e
Final Cleanout: I , 5- /
Pink Copy: SEH
11