3648 Ridgewood Dr - Inspection FormCity of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date (2f0'
--
Name
PID Number
r
House Number - 0 0-5 Street Name ,
Alternative Mailing Address
Sag/Pipe Deflection
Damaged Pipe
Transition f - 1 1
4" to 6" Transition:
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No No sump pump
Service Lateral Inspection Findings Number of stacks 7
Entered S L at . f`r ./
(
Roots
Poor Pipe Joints
Mineral Deposits
White Copy: Property Owner
r
1 f
A-
AA
s xi am
Time /,,,// pm
Disk #
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
0
Time
Phone .6 3
A
„„/
•
d am
• o pm
,...- Signature
Obstruction
Unable to push past
feet
.
-- Final Cleanout:
5 .
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Pink Copy: SEH
f.
Total
1/ il
Notes 11
.,..,
j
Number
Discharged
Correctly
incorrectly
Unknown
Sump pumps
Foundation drains
11111
IIIII
.,.. .-,
Roof drains
( ,..."
City of Eapo
Residential Sanitary Sewer Service
Compliance Inspection
Date (2f0'
--
Name
PID Number
r
House Number - 0 0-5 Street Name ,
Alternative Mailing Address
Sag/Pipe Deflection
Damaged Pipe
Transition f - 1 1
4" to 6" Transition:
OwnerlOccupant Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
0 Sump pump properly piped
No No sump pump
Service Lateral Inspection Findings Number of stacks 7
Entered S L at . f`r ./
(
Roots
Poor Pipe Joints
Mineral Deposits
White Copy: Property Owner
r
1 f
A-
AA
s xi am
Time /,,,// pm
Disk #
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
Length of Service:
Yellow Copy: City of Eagan
Record Number
0
Time
Phone .6 3
A
„„/
•
d am
• o pm
,...- Signature
Obstruction
Unable to push past
feet
.
-- Final Cleanout:
5 .
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Pink Copy: SEH
f.