4161 Topaz Dr - Inspection Forms411111
litty al Ea a
Residential Sanitary Sewer Service
Compliance Inspection
Date 0/4' 42e /0
Name
Time /5/ .-pm
iG acv f / T Jr Disk # F
PID Number
House Number Street Name
Record Number
-W
1)77
Time
• o am
• o pm
Alternative Mailing Address
•
OwnerlOccupant Signature
PhoAe (/.. 7) �/ C1 --(11<()Z
()z
'inspector Signature
For information calf 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
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.
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Service Lateral inspection Findings
Roots
Number of stacksi Entered S.L. at
I/
�Lu . - (
Poor.Pipe joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Final Cleanout:
White Copy: Property Owner
Yellow Copy: City of Lagan
Pink Copy: SEH
Notes 4
> U , .ff�:
6
zz
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
--
Foundation drains
Ell=
Roof drains
---
y
r
White Copy: Property Owner
Yellow Copy: City of Lagan
Pink Copy: SEH
City of Papas
Residential Sanitary Sewer Service.
Compliance Inspection
Date_ 1 i ,
JV 1
Name jl/ i�r Disk #
Time ) •�
PID Number
'0 am
pm
House Number
Street Name.
Alternative Mailing Address
i
;1/J
)7,
f
Record Number
/ Owner/Occupant Signature
Time J•
O wpm
Phone Z� i(� ` A (/,eX..•.-
•
inspector Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof dram connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
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
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Service Lateral Inspection Findings
Roots
Number of stacks '1 Entered S.L atf ` - =7/
77 2 -
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition •
Length of Service:
4" to 6" Transition:
Anal Cleanout: 1 r
f_.
Notes
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Correctly
Discharged
• incorrectly
Unknown
Total
Sump pumps
7
Foundation drains
Roof drains
Notes
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH