4165 Rahn Rd - Inspection FormSump pumps
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Foundation drains
i
Roof drains
{"r City ol` Laa a
Residential Sanitary Sewer Service
Compliance Inspection
Date.
Name
PID Number
I -louse Number
Alternative Mailing Address
For information call 651
Compliance
No foundation drain connection
t3 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Service Lateral Inspection Findings N mberr of stacks - Entered S Lat_ ! �/,'� F ; / ._.,C�� '
Roots 7 C '' 7 � c? ) '—
"a ,
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition_ ) ! d I r -f--1
4" to 6" Transition:
OwnerlOccupant Signature
Total
Time _ •
Disk #
am
pm
)(5- -�
Street Name - f
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
Correctly Incorrectly Unknown
White Copy: Pioper Owner
Record Number
Notes
Time
•
Phone j .. )(
C•..'.% _.�
a _ inspector Signature
Obstruction
Unable to push past
feet
l i
Length of Service: r� ` f
gt � � ..� Final Cleanout:
am
pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Yellow Copy: City of Eagan Pink Copy: SEH