3757 Ridgewood Dr - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
7 ▪ y •` j
Date,--- D / I
Name r .
PID Number
House Number
Alternative Mailing Address
For information call 65
Compliance
No foundation drain connection
No roof drain connection
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
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy; Property Owner
• , `. O am
Time � r =• O pm
, .. i1 Disk #
/ Street Name
Owner /Occupant Signature
1
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
t f
Number of stacks z" Entered S L.at
Length of Service: 1'
Record Number
j ` ____,..,,„)i,„ ' i�4 am
T ime • ' Pm
Phone
Notes
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
sy
final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
�,
__.- 3 s
Discharged
incorrectly
t J , i
/ j -,l
Unknown
%e- -/ _
:•r .-
Total
Sump pumps
t
�:._.,.
Foundation drains
Roof drains
f
` /
Residential Sanitary Sewer Service
Compliance Inspection
7 ▪ y •` j
Date,--- D / I
Name r .
PID Number
House Number
Alternative Mailing Address
For information call 65
Compliance
No foundation drain connection
No roof drain connection
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
Damaged Pipe
Transition
4" to 6 "Transition:
White Copy; Property Owner
• , `. O am
Time � r =• O pm
, .. i1 Disk #
/ Street Name
Owner /Occupant Signature
1
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
t f
Number of stacks z" Entered S L.at
Length of Service: 1'
Record Number
j ` ____,..,,„)i,„ ' i�4 am
T ime • ' Pm
Phone
Notes
Inspector Signature
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
sy
final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH