4301 Rahn Rd - Inspection Formslti
4411111-
CityofEa a
Residential Sanitary Sewer Service
Compliance Inspection
Date / / I Time
Name 7733-4-1-71—e;7G
Disk #
jo am
Pm
PID Number
House Number
Street Name
Record Number
Time
F
2
0_,C) Cam
/Pm
Alternative Mailing Address Phone. ) W J5
wnerlOccupant Sign6ture
Inspecto Signature
For information call 651.470.2788
Compliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Non -Compliance
O
O
O
O
O
Clear water connections to
sanitary sewer
Service lateral defects
Defective manholes
Sump pump connected to sanitary
sewer
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
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Number of stackstered S L at
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Final Cleanout:
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Discharged
Notes
Total
Correctly
Incorrectly
Unknown
Surnp pumps
Mill
Foundation drains
✓
7;
_ c, .7
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CA,
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(E_ %. �._a
- , 4- /
j r f s , /f _ , r ( .
Roof drains
f,
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
411' City of hp
Residential Sanitary Sewer Service
Compliance Inspection
Dateljl
am
Pm
Record Number
cD Time
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Name CJ 1 es}: Disk #
PLD Number
House Number
Street Name
• � Dim
' Y`• pm
Alternative Mailing Address
A 1
6w r10ccubantygnature
Phone
ins{�ector ignature
For information call 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
Clear water connections to
sanitary sewer
/0 Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S . at
Roots e �)
Poor Pipe Joints
Mineral Deposits
SaglPipe Deflection
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Damaged Pipe
Transition
1
•
4" to 6" Transition:
Length of Service: Final Cleanout:
White Copy: Property Owner
Notes
fi/�? f' ) i ,r'�E �.?1) l
r' 1�
f/ t
Yellow Copy: City of Fagan
r"'
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
1111
111
Foundation drains
Roof drains
f _V
MEM
White Copy: Property Owner
Notes
fi/�? f' ) i ,r'�E �.?1) l
r' 1�
f/ t
Yellow Copy: City of Fagan
r"'
Pink Copy: SEH