4141 Rahn Rd - Inspection FormSump pumps
Foundation drains
i
Roof drains
7'1%
_,;
City I. n
Residential Sanitary Sewer Service
Compliance Inspection
Date- c
Name
PID Number
Roots
Poor Pipe Joints
Mineral Deposits
House Number ) ) Street Name
Alternative Mailing Address
72. OwnerlOccupant Signature
Compliance
r
No foundation drain connection
No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Sag /Pipe Deflection
Damaged Pipe
Transition
d
4" to 6" Transition:
White Copy: Pi open ty Owner
�. yam
. � Time i / pm
7 1 / i —4 - Disk #
Length of Service:
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 Discharged
Total Correctly Incorrectly Unknown
Record Number
Phone
Time fit/ • o pm
For information call 651.470.2788
Obstruction
Unable to push past
feet
Notes
Inspector Signature
r2
Number of stacks Entered S L at r
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
/ /2
f '"- . 4
I f,l i3 %adz /, -'
i Final Cleanout:'
Yellow Copy: City of Eagan Pink Copy: SEH