4661 Ridge Cliffe Dr - Inspection Form` City or taka
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
Alternative Mailing Address
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
4" to 6 "Transition:
White Copy: Property [honer
� ..
Time r •
Disk #
Street Name
Owner/Occupant Signature
r
o am
Pm
i c , e , :: ,,,, .....
....,
f " tl �r
)�
r
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 surnp pump piping
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
H ? ?
Transition t _
u%
• '
Lang i,f,Ser-vice:
Yellow Copy: City of Eagan
Record Number
Phone
Time
Service Lateral Inspection Findings Numberofstacks ; Entered S,L,at
t .
'f {
Inspector Signature
Obstruction
Unable to push past
feet.
0 am
V pm
For information call 651.470.2788
1 1 Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Notes
Total
Incorrectly
Unknown
Sump pumps
- �� tee;
.._-; ' 7
}
,
` ` , 3
Foundation drains
Roof drains
` City or taka
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
House Number
Alternative Mailing Address
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
4" to 6 "Transition:
White Copy: Property [honer
� ..
Time r •
Disk #
Street Name
Owner/Occupant Signature
r
o am
Pm
i c , e , :: ,,,, .....
....,
f " tl �r
)�
r
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 surnp pump piping
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
H ? ?
Transition t _
u%
• '
Lang i,f,Ser-vice:
Yellow Copy: City of Eagan
Record Number
Phone
Time
Service Lateral Inspection Findings Numberofstacks ; Entered S,L,at
t .
'f {
Inspector Signature
Obstruction
Unable to push past
feet.
0 am
V pm
For information call 651.470.2788
1 1 Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH