4271 Rahn Rd - Inspection Form
41 City Residential Sanitary Sewer Service
k rlrt Compliance Inspection
1 ~ I Time 6 ,grpm Pecord Number p
Date -1
0 am
° 1 •
Name ~J wm/fj:.J ~'fDisk # s i Time ` F61•'Pm
PID Number,
Z-71 Street Name
House Number'
Phone
Alternative MailingAddr•ess
OwnerlOccupont Signature Inspector Signature
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For information call 651.470.2788
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection O Clear water connections to Unable to push past O No one in
sanitary sewer feet. O Access to service
cat No roof drain connection O Service lateral defects lateral needed
Sump pit not connected to O Defective manholes
`sanitary sewer O Inspection
, O Sump pump connected to sanitary refused
i~Sump pump properly piped sewer,
r`
`_Q No sump pump O Flexible sump pump piping
"Service Lateral Inspection Findings Number of stacks ( Entered S. L at
Roots
Poor-Pipejoints _
Mineral Deposits X/-_C7`
Sag/Pipe Deflection -
bamaged Pipe
Transition
i
'
4" to 5' Transition: Length of Service: Final Cleanout: A-'
n
Notes - c P
Number Discharged
Total Correctly Incorrectly Unknown Irk. x
Sump pumps
Foundation drains
Roof drains`
i
i
Pink Copy: SEH
White Copy: Property Owner Yellow Copy: City of Eagan