4028 Rahn Rd - Inspection FormSump pumps
.
7
Foundation drains
2
i ce'
Roof drains
`! City of ;agau
Residential Sanitary Sewer Service
Compliance Inspection
Date - 1 / /
PID Number
)
House Number L
Alternative Flailing Address Phone . ) " . 1
For information calf 65 470.2788
onpliance
\
I1E�
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
V
r 0, No sump pump
Service Lateral Inspection Findings Number of stacks _ 1
Roots
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ) t r9, '
4" to b" Transition:
White Copy: Proper ty Owner
(
( 00 o am
Time 2 • . pm
Owner/Occupant Signature
Total
! -
Street Name _
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 sumppump piping
Correctly Incorrectly Unknown
- 2
Length of Service:
Number Discharged
Record Number
2 3
Notes
Time / <' •
inspector Signature
Obstruction
Unable to push past
feet
Final Cleanout:
am
Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Entered S L at <- r- '
Yellow Copy; City of Eagan Pink Copy: SEH