4065 Rahn Rd - Inspection FormCity f h'a ap
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date_ ]] ( �, if
I ) 1 f a
Time • pm
Name )/ 4-;) . j C 9 l / Disk#
PID Number
House Number - r 1'. Street Name
_Alternative Mailing Address
Transition
OerlOccupant Signature
For information call 651.470.2788
Compliance
A7 No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
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
Service Lateral inspection Findings Nurs of stacks
Roots 5 J ) „I,; / r ?
Poor Pipe Joints
Mineral Deposits
Damaged Pipe
Length of Service:
Yellow Copy: City of Eagan
Record Number -1
0 am
-- Time • Pm
Phone -17 15 ( 7)
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L.. at
/1
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
0
Pink Copy: SEH
Total
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Sump pumps
Foundation drains
(
Roof drains
1J
`)
City f h'a ap
Y �
Residential Sanitary Sewer Service
Compliance Inspection
Date_ ]] ( �, if
I ) 1 f a
Time • pm
Name )/ 4-;) . j C 9 l / Disk#
PID Number
House Number - r 1'. Street Name
_Alternative Mailing Address
Transition
OerlOccupant Signature
For information call 651.470.2788
Compliance
A7 No foundation drain connection
Q No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Sag /Pipe Deflection
4" to 6" Transition:
White Copy: Property Owner
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
Service Lateral inspection Findings Nurs of stacks
Roots 5 J ) „I,; / r ?
Poor Pipe Joints
Mineral Deposits
Damaged Pipe
Length of Service:
Yellow Copy: City of Eagan
Record Number -1
0 am
-- Time • Pm
Phone -17 15 ( 7)
Inspector Signature
Obstruction
Unable to push past
feet
Entered S L.. at
/1
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Final Cleanout:
0
Pink Copy: SEH