4176 Topaz Dr - Inspection Formr City ilk' EaPAII
Residential Sanitary Sewer Service
Compliance Inspection
Date t 1 /
Name `+'/�f4l2fs?14 Disk #
House Number
Alternative Mailing Address
f / _
Compliance
O No foundation drain connection
/ No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
f�f
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
PID Number
-',
"- (..%o, am
Pm
Ownerl0ccupant- Signature
Non - Compliance
Service Lateral Inspection Findings Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Clear water connections to
sanitary sewer •- - '"'- 7) (%' 7
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number _.
) S treet Name /' )
J o am
Time _ P ` • ' pm
Phone ,-/-c
Obstruction
Unable to push past
feet
Inspector Signature
For information call 651 ; .470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S,L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ! i
Transition J-4-- r fi r' /
Pink Copy: SEH
.
Number
Correctly
Discharged
Incorrectly Unknown
Notes
2, 2 LAY( ' L f . % =` }('7,
-� 0 _ J : � C --._2 C
/
/ r -- � _ _7 .. ' mi l✓ ° f 1.---4-- --7
r
Total
Sump pumps
Foundation drains
f ' _- _•
i 1
G .
Roof drains
i %�
r City ilk' EaPAII
Residential Sanitary Sewer Service
Compliance Inspection
Date t 1 /
Name `+'/�f4l2fs?14 Disk #
House Number
Alternative Mailing Address
f / _
Compliance
O No foundation drain connection
/ No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
f�f
No sump pump
4" to 6 "Transition:
White Copy: Property Owner
Time
PID Number
-',
"- (..%o, am
Pm
Ownerl0ccupant- Signature
Non - Compliance
Service Lateral Inspection Findings Number of stacks
Length of Service:
Yellow Copy: City of Eagan
Clear water connections to
sanitary sewer •- - '"'- 7) (%' 7
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Record Number _.
) S treet Name /' )
J o am
Time _ P ` • ' pm
Phone ,-/-c
Obstruction
Unable to push past
feet
Inspector Signature
For information call 651 ; .470.2788
Final Cleanout:
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S,L.at
Roots
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe ! i
Transition J-4-- r fi r' /
Pink Copy: SEH