4196 Topaz Dr - Inspection FormPID Number
r..
1 ' Cit of ban
Residential Sanitary Sewer Service
Compliance Inspection
Date 1113 t /0 Time , • • ( o pm
Name rai;iA,'
House Number 4 /t 9 g
Alternative Mailing Address
/2 / /
r7 t''A
Compliance
b No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
? Sump pump properly piped
;0 No sump pump
White Copy: Proper ty Owner
r
Disk #
Street Name
OwnerlOccupant Signature
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
Service Lateral Inspection Findings Number of stacks Entered S.L.. at - .,7
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition: / 12.0 ./1 (f,/ 6 .. _Length of Service:
2 ye
Yellow Copy: City of Eagan
Record Number
] Time 1 (J : o a m
Ph
Obstruction
Unable to push past
feet
c -6/9"<//
o nsspectar Signature
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number Discharged
Notes
-" (j ( f, fi .6,41 rri, -
Total
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
-,_ _.---
-- ° " "" m
V
Roof drains
- ...- ---- --
- --°°
PID Number
r..
1 ' Cit of ban
Residential Sanitary Sewer Service
Compliance Inspection
Date 1113 t /0 Time , • • ( o pm
Name rai;iA,'
House Number 4 /t 9 g
Alternative Mailing Address
/2 / /
r7 t''A
Compliance
b No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
? Sump pump properly piped
;0 No sump pump
White Copy: Proper ty Owner
r
Disk #
Street Name
OwnerlOccupant Signature
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
Service Lateral Inspection Findings Number of stacks Entered S.L.. at - .,7
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6 "Transition: / 12.0 ./1 (f,/ 6 .. _Length of Service:
2 ye
Yellow Copy: City of Eagan
Record Number
] Time 1 (J : o a m
Ph
Obstruction
Unable to push past
feet
c -6/9"<//
o nsspectar Signature
No Access
O No one in
Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH