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4195 Topaz Dr - Inspection FormResidential Sanitary Sewer Service Com pliance Irispecti •In Date • Name Number House Number Transition Alternative Mailing Address 4" to 6" Transition: Street Name Owner/Occupant Signature Mineral Deposits Sag /Pipe Deflection Damaged Pipe White Copy: Property Owner Time .l • Pm Disk # 7 EE" Phone 1 Record Number [ / f' • JJJjJJ JJJJJJ Inspector Signature 3 0 am CJ Pm Li For information call 651.470.2788 Compliance Non - Compliance Obstruction No Access No foundation drain connection 0 Clear water connections to Unable to push past 0 No one in sanitary sewer feet. O Access to service. No roof drain connection 0 Service lateral defects lateral needed O Sump pit not connected to " 0 Defective manholes sanitary sewer • Inspection Sump pump connected to sanitary refused O Sump pump properly piped sewer O No sump pump r Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Entered S.L at :� ` " � Roots ' -- 2. - • J- Poor Pipe Joints Tf /. w ▪ ' ""?..-==-1--4"-- Length of Service: otes I Final Cleanout: ^`Y .1// ' - e!/V ' a ' ' > i i f / / �,t 1 f. ,.. ', `- fir 1 �''%' =- . t. -- ,i(L V — 4 , 1 6 6 a I ,i,,,,,,,_-_--, : i .- 1 ,..-,7--„._,,,,,, _, r- /- - --, ,._z6)-7,---.3,:.:-.-:„ / ,,,,,,e-, „.,..,.,....„ ,. ,c f Yellow Copy: City of Eagan Pink Copy: SEH Number Correctly . Discharged Incorrectly Unknown Total Sump pumps Foundation drains Roof drains Residential Sanitary Sewer Service Com pliance Irispecti •In Date • Name Number House Number Transition Alternative Mailing Address 4" to 6" Transition: Street Name Owner/Occupant Signature Mineral Deposits Sag /Pipe Deflection Damaged Pipe White Copy: Property Owner Time .l • Pm Disk # 7 EE" Phone 1 Record Number [ / f' • JJJjJJ JJJJJJ Inspector Signature 3 0 am CJ Pm Li For information call 651.470.2788 Compliance Non - Compliance Obstruction No Access No foundation drain connection 0 Clear water connections to Unable to push past 0 No one in sanitary sewer feet. O Access to service. No roof drain connection 0 Service lateral defects lateral needed O Sump pit not connected to " 0 Defective manholes sanitary sewer • Inspection Sump pump connected to sanitary refused O Sump pump properly piped sewer O No sump pump r Flexible sump pump piping Service Lateral Inspection Findings Number of stacks Entered S.L at :� ` " � Roots ' -- 2. - • J- Poor Pipe Joints Tf /. w ▪ ' ""?..-==-1--4"-- Length of Service: otes I Final Cleanout: ^`Y .1// ' - e!/V ' a ' ' > i i f / / �,t 1 f. ,.. ', `- fir 1 �''%' =- . t. -- ,i(L V — 4 , 1 6 6 a I ,i,,,,,,,_-_--, : i .- 1 ,..-,7--„._,,,,,, _, r- /- - --, ,._z6)-7,---.3,:.:-.-:„ / ,,,,,,e-, „.,..,.,....„ ,. ,c f Yellow Copy: City of Eagan Pink Copy: SEH