4612 Ridge Cliffe Dr - Inspection Form4111
Bl Ede
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
i
/
-1t })
I Disk # rT,
) �
Time
PID Number
House Number -f i ) Street Name
Alternative Mailing Address
J ,/-1,-,..-7-7-' - \ ,../,./1.
t
Owner /Occupant, Signature
• OC/i�am
• O pm
For information call 65 .470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
(l sanitary sewer
O Sump pump properly piped
O No sump pump
{
4" to 6" Transition: !`
White Copy: Property Owner
Non - Compliance
Service Lateral inspection Findings Number of stacks
Roots
t\
ri'7
Yellow Copy: City of Eagan
Record Number
Phone
Time
Obstruction
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
7 . am
o pm
2
Inspector Signature
ems: f r F C leanout:
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Entered S at '(-3
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe 7
.,
Transition )
Pink Copy: SEH
}
fi
Number
Correctly
Discharged
Notes
/ i J ^ , �/!J
p 1 °= ( ' f „
-- .^ -, f « _ ,c..
1 E , _ l c'. r� A �._ . ,) j I�
/
Total
Incorrectly
Unknown
Sump pumps
7 . C' �
.,. ,r
Foundation drains
i 1
Roof drains
(9
4111
Bl Ede
Residential Sanitary Sewer Service
Compliance Inspection
Date /
Name
i
/
-1t })
I Disk # rT,
) �
Time
PID Number
House Number -f i ) Street Name
Alternative Mailing Address
J ,/-1,-,..-7-7-' - \ ,../,./1.
t
Owner /Occupant, Signature
• OC/i�am
• O pm
For information call 65 .470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
(l sanitary sewer
O Sump pump properly piped
O No sump pump
{
4" to 6" Transition: !`
White Copy: Property Owner
Non - Compliance
Service Lateral inspection Findings Number of stacks
Roots
t\
ri'7
Yellow Copy: City of Eagan
Record Number
Phone
Time
Obstruction
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
7 . am
o pm
2
Inspector Signature
ems: f r F C leanout:
No Access
O No one in
O Inspection
refused
O Access to service
lateral needed
Entered S at '(-3
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe 7
.,
Transition )
Pink Copy: SEH
}
fi