3730 Ridgewood Dr - Inspection FormCity a! hapax
Residential Sanitary Sewer Service
Compliance Inspection
Date/ / ,Z1 e/ j )
1 . 1 ; .,
Name i Disk #
PID Number
House Number
Alternati ve l} ling Address
vi-
Owner /Occupant Signature
o pliance
No foundation drain connection
No roof drain connection
f 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
t
Transition , , « - 1 - (2)
4" to 6 "Transition: . ' ') /'`
White Copy: Property Owner
„ pp am
Time /1 pm
. / { :Street Name
Length of Service:
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
Record Number
Phone r
For information call 651.470.2788
Number of stacks Entered S L. at
Obstruction No Access
Notes
�-� O am
.Time • � l pm
am
Inspector Signature
Unable to push past
feet
O No one in
O Access to service
lateral needed
O Inspection
refused
final Cleanout :.
Yellow Copy: City of Eagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly Unknown
Sump pumps
- = �<
j
f v /
✓
Foundation drains
Roof drains
City a! hapax
Residential Sanitary Sewer Service
Compliance Inspection
Date/ / ,Z1 e/ j )
1 . 1 ; .,
Name i Disk #
PID Number
House Number
Alternati ve l} ling Address
vi-
Owner /Occupant Signature
o pliance
No foundation drain connection
No roof drain connection
f 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
t
Transition , , « - 1 - (2)
4" to 6 "Transition: . ' ') /'`
White Copy: Property Owner
„ pp am
Time /1 pm
. / { :Street Name
Length of Service:
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
Record Number
Phone r
For information call 651.470.2788
Number of stacks Entered S L. at
Obstruction No Access
Notes
�-� O am
.Time • � l pm
am
Inspector Signature
Unable to push past
feet
O No one in
O Access to service
lateral needed
O Inspection
refused
final Cleanout :.
Yellow Copy: City of Eagan Pink Copy: SEH