4157 Rahn Rd - Inspection Formay off'FagaH
Residential Sanitary Sewer Service
Compliance Inspection
Date 4 /
Alternative Mailing Address
4" to 6" Transition:
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
° _No sump pump
White Copy: Property Owner
• O am
Time X ,2 ,p pm
Name Disk #
PID Number
House Number 4 47c 7 Street Name _ /',
OwnerlOccupant Signature
For information call 651.470.2788
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 Number of stacks _ Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
` •r
Inspector Signature
Time
Obstruction
- Unable to push past
feet
final Cleanout:
O am
•
• O P
No Access
O No one in
Access to service
lateral needed
O inspection
r efused
Pink Copy: SEH
Number
Correctly
Notes r
Discharged '- .,'3
Total
Incorrectly
Unknown
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t
Sump pumps
i �s
Foundation drains
Roof drains
ay off'FagaH
Residential Sanitary Sewer Service
Compliance Inspection
Date 4 /
Alternative Mailing Address
4" to 6" Transition:
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
° _No sump pump
White Copy: Property Owner
• O am
Time X ,2 ,p pm
Name Disk #
PID Number
House Number 4 47c 7 Street Name _ /',
OwnerlOccupant Signature
For information call 651.470.2788
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 Number of stacks _ Entered S L at
Roots
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Length of Service:
Yellow Copy: City of Eagan
Record Number
` •r
Inspector Signature
Time
Obstruction
- Unable to push past
feet
final Cleanout:
O am
•
• O P
No Access
O No one in
Access to service
lateral needed
O inspection
r efused
Pink Copy: SEH