4046 Rahn Rd - Inspection FormsSump pumps
Foundation drains
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F
Roof drains
4 of Fataa
Residential Sanitary Sewer Service
Compliance Inspection
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Date
Name
PID Number
House Number
Alternative Mailing Address
4 -7 i7
f /r f
Owne ,rlOccuparnt Signature
For information call 651.470.2788
Compliance
O No foundation drain connection
i
▪ No roof drain connection
O Sump pit not connected to
sanitary sewer
O Surnp pump properly piped
l
▪ No sump pump
Service Lateral Inspection Findings
Roots
Sag /Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
yr` ai?
White Copy: Property Owner
Time jI _L •
)/ Disk#
_ f
° Street Name =J:'
Total
O am
0 pm
Non - Compliance
Poor Pipe Joints
Mineral Deposits
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
Number of stacks i
Length of Service:
Number Discharged
Correctly
Incorrectly Unknown
Yellow Copy: City of Eagan
Record Number
Obstruction
Unable to push past
feet
Entered S.L. at
Notes
Phone
r
Time 1' •
inspector Signature
Final Cleanout:
•
am
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
;.0
l' 1
Residential Sanitary Sewer Service.
City of p • • • - •
Date Time i',__ ; • 'o pm Record Number
r r + ' b am
Time p
Name Disk #
r
PID Number
House Number _df Street Name
Alternative Mailing Address Phone
OwneflOccupant Signature Inspector Signature
For information call 651.470.2188
Compliance Non-Compliance Obstruction No Access
O No foundation drain connection Clear- water- connections to Unable to push past O No one in
sanitary sewer- feet O Access to service
No roof drain connection
O Service lateral defects lateral needed
O Sump pit not connected to O Defective manholes
sanitary sewer O Inspection
O Sump pump connected to sanitary refused
O Sump pump properly piped sewer
No sump pump O Flexible sump pump piping
Service Lateral Inspection Findings Number of stacks Entered S.L. at
Roots
Poor- Pipe joints
Mineral Deposits ) +'Fr
Sag/Pipe Deflection
Damaged Pipe
Transition ei +Wi 1~s Je 3 ` T
4" to 6"transition: Length of Service: f Final Cleanout:'J,
Notes Number Discharged N~
Total Correctly Incorrect) Unknown
Sump pumpsa
/ / i 'J ~ r ~ J 2/ f f / •
T , l''
Foundation drains
Roof drains
White Copy: Property Owner Yellow Copy: City of Eagan = PgzrCopy~SEH