4155 Topaz Dr - Inspection Forms`C1t of I a ai
Residential Sanitary Sewer Service
Compliance Inspection
Dated 0J' ! 10
Name lf> 1 i 7 ::' , Disk #
PID Number
House Number
Alternative Mailing Address
1 //51(
For information call 651.470.2788
Compliance
i Q'No foundation drain connection
'No roof drain connection
p
O� Sump pit not connected to
. sanitary sewer
p Sump pump properly piped
0 No sump pump
/ //
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots 4",
Poor Pipe Joints
Mineral Deposits //.,
White Copy: Property Owner
Sag /Pipe Deflection
Damaged Pipe
Transition
Time 1/ • 6 p m
•/1 o pm
Street Name _ '"7r, ,/1,47 /T7,'
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
d
5
J
Number of stacks
4" to 6" Transition: Igo,/ Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
_feet
Entered S.L.a
Time // : 4_ r m
Phone , i /.✓E
' nspector Signature
/
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes — L, 0+%"G/ f ; , z
; /s 9f .
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
—
-----
_—
Roof drains
_ _.__ _._...`... .._._
`C1t of I a ai
Residential Sanitary Sewer Service
Compliance Inspection
Dated 0J' ! 10
Name lf> 1 i 7 ::' , Disk #
PID Number
House Number
Alternative Mailing Address
1 //51(
For information call 651.470.2788
Compliance
i Q'No foundation drain connection
'No roof drain connection
p
O� Sump pit not connected to
. sanitary sewer
p Sump pump properly piped
0 No sump pump
/ //
Owner /Occupant Signature
Service Lateral Inspection Findings
Roots 4",
Poor Pipe Joints
Mineral Deposits //.,
White Copy: Property Owner
Sag /Pipe Deflection
Damaged Pipe
Transition
Time 1/ • 6 p m
•/1 o pm
Street Name _ '"7r, ,/1,47 /T7,'
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
d
5
J
Number of stacks
4" to 6" Transition: Igo,/ Length of Service:
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
_feet
Entered S.L.a
Time // : 4_ r m
Phone , i /.✓E
' nspector Signature
/
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
4 ,0 11 ' City of Eapp
Residential Sanitary Sewer Service
Compliance Inspection
Date (2.5 of 1 Ip Time 1/ •
. 7i o m
Name . .e/C/4-4.4t2 ( C / 11{6, ,, s.,
PID Number
House Number
_ 7 ! r!c
OwnerlaLupant Signature
Compliance
Q.-No foundation drain connection
` Q "No roof drain connection
O 'Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral inspection Findings
Roots $'7 4j , e
Transition ( (7.1-4
4" to 6" Transition:
White Copy: Property Owner
Disk #
0
5
Length of Service:
Yellow Copy: City of Eagan
Record Number
f)
Time d • `I am
O pm
Street Name A47 /7,
Alternative Mailing Address _ Ph
/Inspector Signature
7 /
For information call 651.470.2788
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
Obstruction
Unable to push past
feet
Number of stacks / Entered S. L at . t
Poor Pipe joints
Mineral Deposits /
Sag/Pipe Deflection
Damaged Pipe
j.
ir Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Total
Notes ^^ (r 'L ✓ {_�., : e rr.
L ,,
E r ,0 i6 4f,
___
Number
Discharged
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
___�e_..._
Roof drains
10.--
____w.___-
.----__. _.___.
4 ,0 11 ' City of Eapp
Residential Sanitary Sewer Service
Compliance Inspection
Date (2.5 of 1 Ip Time 1/ •
. 7i o m
Name . .e/C/4-4.4t2 ( C / 11{6, ,, s.,
PID Number
House Number
_ 7 ! r!c
OwnerlaLupant Signature
Compliance
Q.-No foundation drain connection
` Q "No roof drain connection
O 'Sump pit not connected to
sanitary sewer
Sump pump properly piped
0 No sump pump
Service Lateral inspection Findings
Roots $'7 4j , e
Transition ( (7.1-4
4" to 6" Transition:
White Copy: Property Owner
Disk #
0
5
Length of Service:
Yellow Copy: City of Eagan
Record Number
f)
Time d • `I am
O pm
Street Name A47 /7,
Alternative Mailing Address _ Ph
/Inspector Signature
7 /
For information call 651.470.2788
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
Obstruction
Unable to push past
feet
Number of stacks / Entered S. L at . t
Poor Pipe joints
Mineral Deposits /
Sag/Pipe Deflection
Damaged Pipe
j.
ir Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH