4659 Ridge Cliffe Dr - Inspection Form4111
City a Ea i
Residential Sanitary Sewer Service
Compliance Inspection
a
3 I f t / 1� • ✓ o am
Date 1 , Time • pm
Name 21/47) r' r 1 1 Disk #
P1D Number
i 4 */1
House Number - ._ Y ii Street Name
OwnerlOccupant Signature
•
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots �..���
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
Non - Compliance
O
O
O
O
0
"
} a
Phone ;� ii2
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks '1 Entered SL at
Damaged Pipe
•
Transition
;
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unabl to push past
d, r, feet
//Y. •
Notes
Inspector Signature
• r
Time •
,o( am
0 pm
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
-1 Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
4/
}
Roof drains
4111
City a Ea i
Residential Sanitary Sewer Service
Compliance Inspection
a
3 I f t / 1� • ✓ o am
Date 1 , Time • pm
Name 21/47) r' r 1 1 Disk #
P1D Number
i 4 */1
House Number - ._ Y ii Street Name
OwnerlOccupant Signature
•
Alternative Mailing Address
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots �..���
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
Non - Compliance
O
O
O
O
0
"
} a
Phone ;� ii2
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
Flexible sump pump piping
Number of stacks '1 Entered SL at
Damaged Pipe
•
Transition
;
Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unabl to push past
d, r, feet
//Y. •
Notes
Inspector Signature
• r
Time •
,o( am
0 pm
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
-1 Pink Copy: SEH