4052 Rahn Rd - Inspection FormCity or liaiao
Residential Sanitary Sewer Service
Compliance Inspection
Date-.S /) ,C / i
PID Number
House Number '— R Street Name
Alternative Mailing Address Phone .
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
O No sump pump
!'Own Ffccupant Signature f ,
Service Later f 1 Inspection Findings
Roots f �
▪ 1
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe i
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time
Disk #
Non - Compliance
O 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
Yellow Copy: City of Eagan
Record Number
o am
Time • pm
Inspector Signature
obstruction
Unable to push past
feet
i
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S at
Length of Service: / Final Cleanout:
Pink Copy: SEH
Number Discharged
Notes
1 . . '7.. 1 i r i' r- r `"ACC'' .,./ -'
Total
Correctly
Incorrectly Unknown
Sump pumps
Foundation drains
Roof drains
City or liaiao
Residential Sanitary Sewer Service
Compliance Inspection
Date-.S /) ,C / i
PID Number
House Number '— R Street Name
Alternative Mailing Address Phone .
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
O No sump pump
!'Own Ffccupant Signature f ,
Service Later f 1 Inspection Findings
Roots f �
▪ 1
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe i
Transition
4" to 6 "Transition:
White Copy: Property Owner
Time
Disk #
Non - Compliance
O 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
Yellow Copy: City of Eagan
Record Number
o am
Time • pm
Inspector Signature
obstruction
Unable to push past
feet
i
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S at
Length of Service: / Final Cleanout:
Pink Copy: SEH