4623 Ridge Cliffe Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
City of to an
Residential Sanitary Sewer Service
Compliance Inspection
Date
PID Number.
House Number
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Name / r / • j ? Disk#
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...:;/ =-} Street Name
Alternative Mailing Address
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
For information call 651:470:2788
Compliance
0 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 Number of stacks
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
7
otal
Time , •
ri C' % am
0 pm
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
Noteq
Correctly Incorrectly Unknown ` ' 1 i � " r /C
Number Discharged
Record Number
▪ 1
1
am
Time • o pm
y
Phone r 7
)
1
Inspector Signature
Obstruction
Unable to push past
feet
1/ final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S.L.at
Yellow Copy: City of Eagan Pink Copy: SEH