4162 Topaz Dr - Inspection Form 2
Residential Sanitary Sewer Service.
! rlr Compliance Inspection
Date 1 1~ Time wpm Record Number J
' O am
Name ✓9 7 ~ ~1 Disk# ® Time 00 o m
PID Number ,
!-louse Number Street Name
Alternative Mailing Address Phone 021) zl~5_zlll 2s-2~~
OwnerlOccupant Signature Inspector Signature
j ~
For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
No foundation drain connection O Clear, water connections to Unable to push past O No one in
No roof drain connection sanitary sewer feet O Access to service
O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary
O Sump pump properly piped sewer refused
No sump pump O Flexible sump pump piping
ServiL14 e ate ral Inspection Findings Number of stacks _ Entered S L at _
Roots r -
Poor PipeJoints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe i
Transition r,~ l..i i n1 tJ~}~
4" to 6" Transition:} Length of Service: ' Final Cleanout-
{~~~f~
Notes
Number Discharged ~1-
Total Correctly Incorrectly Unknown
Sump pumps d
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan Pink Copy: SEH