4162 Topaz Dr - Inspection Form 1
Residential Sanitary Sewer Service
r
City or i
Compliance Inspection
PJ • am
Date f 1 1_ i Time pm Record Number
O am
Name r't fi I 1 Disk#m~~-•••m ❑ Time O pm
1
PID Number
House Number- _ Street Name r F
2- z
Alternative Mailing Address Phone
OwnerlOccupant Signature Inspector Signature
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear, water connections to Unable to push past O No one in
O No roof drain connection sanitary sewer- feet- Access to service
O Service lateral defects f lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
O No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number, of stacks Entered S L at
Roots
Poor Pipe joints _
Mineral Deposits
Sag/Rpe Deflection - -
Damaged
Transition
4" to 6" Transition: Length of Service: Final Cleanout:
Notes
Number Discharged Total Correctly Incorrectly Unknown n r
Sump pumps
Foundation drains '
Roof drains > 1~ f _sa ~rJ.3 ~f
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH