3644 Ridgewood Dr - Inspection Form41111
Cay ol Ekan
Residential Sanitary Sewer Service
Compliance Inspection
Date ( / A9
Name .J J..4
Disk #
PID Number
c`/
House Number
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump purnp
4" to 6" Transition:
White Copy: Property Owner
Time
z • 0 am
n ,
Street Name
Owner/Occupant Signature
, e 4
ee- ee ,./C1 6 /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
Length of Service:
Yellow Copy: City of Eagan
Record Number
fl -
Time
Alternative Mailing Address Phone 4
.1 ''..
4 :
Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final CI eanout:
0 am
• •
0 Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pia Copy: SEH
• Total
Notes i
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- .
Number
Discharged
Correctly
- Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
11
41111
Cay ol Ekan
Residential Sanitary Sewer Service
Compliance Inspection
Date ( / A9
Name .J J..4
Disk #
PID Number
c`/
House Number
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump purnp
4" to 6" Transition:
White Copy: Property Owner
Time
z • 0 am
n ,
Street Name
Owner/Occupant Signature
, e 4
ee- ee ,./C1 6 /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
Length of Service:
Yellow Copy: City of Eagan
Record Number
fl -
Time
Alternative Mailing Address Phone 4
.1 ''..
4 :
Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S L at
Roots
Poor Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
Final CI eanout:
0 am
• •
0 Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pia Copy: SEH
4 11. Cif or Eqpt
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date �l i 1 1/ )
Name
RD Number
House Number
Alternative Mailing Address
Compliance
Roof drains
No roof drain connection
,L� Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6 "Transition:
Sump pumps
White Copy: Property Owner
an
Time = 'O pm
I / D i sk #
- Street Name
T
,Owner /Occupant Signature
For information call 651.470.2788
No foundation drain connection
Service Lateral Inspection Findings
Roots
PoorPipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Non - Compliance
O Clear water connections to
\ sanitary sewer
Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
4-7
Total
Number Discharged
Number of stacks
Length of Service:
Incorrectly
is
Phone .!r I
'1
Record Number
Entered S.L at
Notes
Time /
Inspector Signature
,62 , Final Cleanout:
Yellow Copy: City of Eagan 7(.7:
k3.4-764 )1
am
' pm
Obstruction No Access
paai } le 9 ^,to push past/ 0 No one in
feet ,
'/
Access to service
lateral needed
4 Inspection
refused
{
rnkk ( 4 V SEH
d