4295 Rahn Rd - Inspection Forms' ).
City al Eataa
Residential Sanitary Sewer Service
Compliance Inspection
Date_ /
� 1'/ } /
Name i �' � .i'� � � Disk # ! ��r'
PID Number ,,
House Number 1 4- 2 4 2 3 Street Name
4" to 6 "Transition:
White Copy: Proper ty Owner
Time
�i
•
•
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
O am
O pm
▪ •
Record Number
ri Time
Alternative Mailing Address Phone
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
Obstruction
Unable to push past
feet
• O am
• O pm
Inspector Signature
For information call 651.470.2788
Length of Service: Final Cleanout:
No Access
O No one in
j y
e%
Notes
�
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S at
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Fagan Pink Copy: SEH
Total
Number
Discharged
Correctly
Incorrectly
Unknown
lilli
Sump pumps
11111
-MI
Foundation drains
Roof drains
' ).
City al Eataa
Residential Sanitary Sewer Service
Compliance Inspection
Date_ /
� 1'/ } /
Name i �' � .i'� � � Disk # ! ��r'
PID Number ,,
House Number 1 4- 2 4 2 3 Street Name
4" to 6 "Transition:
White Copy: Proper ty Owner
Time
�i
•
•
Owner /Occupant Signature
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
O am
O pm
▪ •
Record Number
ri Time
Alternative Mailing Address Phone
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
Obstruction
Unable to push past
feet
• O am
• O pm
Inspector Signature
For information call 651.470.2788
Length of Service: Final Cleanout:
No Access
O No one in
j y
e%
Notes
�
Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S at
Roots
Poor Pipejoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Yellow Copy: City of Fagan Pink Copy: SEH
Ctt of • Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date - 1
Time
Name F C `f/ Disk #
PID Number
House Number `'i, 71Street Name
Alternative Mailing Address
§ VA
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
,
Y / 1 -- &a_
Owner/Occupant Signature
White Copy: Property Owner
tom'
Record Number
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
Notes
Phone ')
Timf
Inspector Signature
Obstruction
Unable to push past
feet
• O am
• o pm
For information call 651.470.2788
No Access
O No one in
V Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.,L at
Poor 1'ipeJ / "amts ° i ' %"��; /� `,� .-' ,
Minera1 eposits
eflectlon t . =� ),--.3"---3'
f i !L j, 1 i sl_,,,, / , i� \ r -) , a. j
SagIPlF3e D J._ _
Damaged Pipe /.,..;v , a .� .- =' 1A f' ) / ' , ". 1` :,f ° } i .i
Transition � , f : -5�`"J "C - - - ..!,) � '�
Length of Service: Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
C,
Number Discharged
Total
Correctly
Incorrectly
Unknown
Sump pumps
Foundation drains
Roof drains
Ctt of • Ea n
Residential Sanitary Sewer Service
Compliance Inspection
Date - 1
Time
Name F C `f/ Disk #
PID Number
House Number `'i, 71Street Name
Alternative Mailing Address
§ VA
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
4" to 6" Transition:
,
Y / 1 -- &a_
Owner/Occupant Signature
White Copy: Property Owner
tom'
Record Number
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
Notes
Phone ')
Timf
Inspector Signature
Obstruction
Unable to push past
feet
• O am
• o pm
For information call 651.470.2788
No Access
O No one in
V Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks Entered S.,L at
Poor 1'ipeJ / "amts ° i ' %"��; /� `,� .-' ,
Minera1 eposits
eflectlon t . =� ),--.3"---3'
f i !L j, 1 i sl_,,,, / , i� \ r -) , a. j
SagIPlF3e D J._ _
Damaged Pipe /.,..;v , a .� .- =' 1A f' ) / ' , ". 1` :,f ° } i .i
Transition � , f : -5�`"J "C - - - ..!,) � '�
Length of Service: Final Cleanout:
Yellow Copy: City of Eagan Pink Copy: SEH
C,