4154 Topaz Dr - Inspection Form41111110- City of Ea aA
Residential Sanitary Sewer Service
Compliance Inspection
Date (. 1 (67 I i /
Name f 1 1 `f
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
y r No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Cy No sump pump
,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6" Transition:
//ASV
/ Owner /Occupant Signature
White Copy: Property Owner
/ • r . ,r
Time , _3 /� p pm ' am
Disk #
0
Street Name
i� l /
Phone
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
Record Number
Transition 441 /gi/t'
-° -
Length of Service:
Yellow Copy: City of Eagan
Time ! / • 51 r ,m
A I � ' ?',.?
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet ..
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S. L at J'7)d74/ C
Roots
—
Final Cleanout:
Pink Copy: SEH
Number
Correctly
Notes
Discharged ° L'' i~ :..4,..,y 7
Incorrectly Unknown r -- -",JJ. /4 / 9 yy
111111111. f
Total
Sump pumps
Foundation drains
)
— 1I (1 ea' /72
Roof drains
MI
r r.° f
41111110- City of Ea aA
Residential Sanitary Sewer Service
Compliance Inspection
Date (. 1 (67 I i /
Name f 1 1 `f
PID Number
House Number
Alternative Mailing Address
Compliance
O No foundation drain connection
y r No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
Cy No sump pump
,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
4" to 6" Transition:
//ASV
/ Owner /Occupant Signature
White Copy: Property Owner
/ • r . ,r
Time , _3 /� p pm ' am
Disk #
0
Street Name
i� l /
Phone
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
Record Number
Transition 441 /gi/t'
-° -
Length of Service:
Yellow Copy: City of Eagan
Time ! / • 51 r ,m
A I � ' ?',.?
Inspector Signature
For information call 651.470.2788
Obstruction
Unable to push past
feet ..
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S. L at J'7)d74/ C
Roots
—
Final Cleanout:
Pink Copy: SEH