4149 Topaz Dr - Inspection FormSump pumps
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Foundation drains
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Roof drains
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City of F,aan
Residential Sanitary Sewer Service
Compliance inspection
Date 6 / / I �rJ
Name / - (..0
PID Number
House Number
Alternative Mailing Address
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
er Sump pit not connected to
sanitary sewer
Sump pump properly piped
No sump pump
ra
Service Lateral inspection Findings
Sag /Pipe Deflection
Damaged Pipe
1 z (7t f v
"!
Transition
White Copy: Property Owner
• i t am
Time • ro o �m
Disk #fr
9 . Street Name
Number of stacks
77.440._
[2
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
Number Discharged
Total Correctly incorrectly Unknown
Record Number
0
f am
Time /1 • O pm
Phone 6.i/.s
//7 w5
Obstruction
Unable to push past
feet
Notes
inspector Signature
For information call 651.470.2788
No Access
O No one in
Entered S L at , � C42.,
4" to of 6 "Transition: / �/ � Leng Serv Final Cleanout:
O Access to service
lateral needed
O Inspection
refused
Roots
Poor Pipe joints
Mineral Deposits -.,1"
Yellow Copy: City of Fagan Pink Copy: SEH