3706 Ridgewood Dr - Inspection FormCity F Eain
Residential Sanitary Sewer Service
Compliance Inspection
Dte0e1 /e ? I /C
Name �✓f:'``
PID Number
House Number
Alternative Mailing Address
Compliance
Rio foundation drain connection
) -C No roof drain connection
Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
Sump pumps
Foundation drains
Roof drains
White Copy: Property Owner
Total
1
* Disk #
1 ti • ?0 Aam
Time •$ pm
0
Street Name
(
OwnerlOccupant Signature
-L1J
For information call 65 ,
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
/ Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks -1--Entered 5 L. at
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection__
Damaged Pipe
Transition , r MIS
Length of Service:
Number Discharged
Correctly Incorrectly
Unknown
t f.4
i f
Yellow Copy: City of Eagan
Record Number
Phoge
/Inspector Signature
Notes —
Time
O vJj, , r.
•
•
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
AIL
o am
o pm
Fir ,e out: ....
i Di_cr f
Pink Copy: SEH
Sump pumps
drains
Roof drains i
i } .
._-- -
°— _
° — ____..____._
- °
o r }a a n
Residential Sanitary Sewer Service
Connpllance Inspection
D teed' 1. /6v Time.I f� 0
f ame w p``I 1 °lY
(
PID Number
House Number
Alternative Mailing Address
Compliance
o foundation drain connection
tf',✓'
AD No roof drain connection
r' Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Sag /Pipe Deflection
Damaged Pipe_
Transition Al a 615
4" to 6" Transition:
3 S
White Copy: Property Owner
OwnerlOccupant Signature
rfJ 1
(,,/1 (%t/
Total
Disk #
0
o am
pm
Street Name / 67 7 1,7 `! /
f .f' ', !�'+✓'"°'
For information ;Call 651
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks _ Entered S L atCK('P
Roots
Poor Pipe Joints
Mineral Deposits
Length of Service:
Number Discharged
Correctly Incorrectly Unknown
Record Number
P ' '- ') t� °
//
Obstruction
Unable to push past
feet
/L-/ •
Time
•
fpector Signature
i
o am
o pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Fina ea out: _) /
j r,
Notes
O ✓ T 1.,Y V (A F . j
Yellow Copy: City of Eagan Pink Copy: SEH