4615 Ridge Cliffe Dr - Inspection Form411111 City offama
Residential Sanitary Sewer Service
Compliance Inspection
Date as, 4 f,
Name „elifel/ A
PhD Number
I-louse Number
4" to 6" Transition:
Alter native Mailing Address
Compliance
0 No foundation drain connection
. \ 2 4 ,No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
White Copy: Property Owner
• 4 "
Time pm
•
Disk #
Street Name
Owner/Occupant Signature
• Phone //;1?)-37.....C'' ( -- . V•77
(> 17 inspector Signature
For information call 651.470.2788
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
Number of stacks
Length of Service: /457,F
Record Number
rd Time
/
Obstruction
Unable to push past
feet
C /2
c
• (77 o,A;
0 pm
Entered S L at --?
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition ZI .A 0 IK L
I
Final Cleanout: ///
/174
Yellow Copy: C_I Eagan E, 777 A/ K - 9 / - 3- •. / /. SEH
7 -•-•
A.,47_, /1- 0 k /J "./ 7-74-/
b Li/
Total
Notes if/),,-./..._
3'8 . • -
co
.. , _ ....
. 1,
7 ,-.6 '
1-vN 00,
Number
Discharged
Correctly
'Incorrectly
Unknown
Sump pumps
, ,(Y . ' -
......_.
Foundation drains
N..,-
,, ,,...
Roof drains
ME
-
. , ,
.„..._ ,
,..t , ,--,..., „ -.. ....:. ...---, -
) , Pr 1 i' (C 1 - 0
e -
1 1 Or jr I/L° D1 RF 1--
411111 City offama
Residential Sanitary Sewer Service
Compliance Inspection
Date as, 4 f,
Name „elifel/ A
PhD Number
I-louse Number
4" to 6" Transition:
Alter native Mailing Address
Compliance
0 No foundation drain connection
. \ 2 4 ,No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral inspection Findings
White Copy: Property Owner
• 4 "
Time pm
•
Disk #
Street Name
Owner/Occupant Signature
• Phone //;1?)-37.....C'' ( -- . V•77
(> 17 inspector Signature
For information call 651.470.2788
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
Number of stacks
Length of Service: /457,F
Record Number
rd Time
/
Obstruction
Unable to push past
feet
C /2
c
• (77 o,A;
0 pm
Entered S L at --?
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition ZI .A 0 IK L
I
Final Cleanout: ///
/174
Yellow Copy: C_I Eagan E, 777 A/ K - 9 / - 3- •. / /. SEH
7 -•-•
A.,47_, /1- 0 k /J "./ 7-74-/
b Li/