4307 Rahn Rd - Inspection Form'1t y Pa ?I)
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
2 72 ;
House Number c l Street Name
Alternative MailingAddress
For information call 65
Compliance
O No foundation drain connection
( No roof drain connection
0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection `.
Damaged Pipe
Transition
4" to 6 "Transition:
f White Copy: Property Owner
Time /(is
l 7 ? } / Disk #
Ownerl0ecupant Signature
am
PM
1
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 La�l Inspection Firms gs f Number of stacks
Roots � r / 3 f +"
Length of Service:
Record Number
,
Phone fr� . / k-
.
Time T( •
Inspector Signature
Obstruction
Unable to push past
feet.
Entered S L at '47.7
Notes
r 1=inal Cleanout:
ry
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
,<./
Yellow Copy: City of Eagan Pink Copy: SEH
Number:
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
l
Foundation drains
Roof drains
,-
'1t y Pa ?I)
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
PID Number
2 72 ;
House Number c l Street Name
Alternative MailingAddress
For information call 65
Compliance
O No foundation drain connection
( No roof drain connection
0 Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
Poor Pipe joints
Mineral Deposits
Sag /Pipe Deflection `.
Damaged Pipe
Transition
4" to 6 "Transition:
f White Copy: Property Owner
Time /(is
l 7 ? } / Disk #
Ownerl0ecupant Signature
am
PM
1
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 La�l Inspection Firms gs f Number of stacks
Roots � r / 3 f +"
Length of Service:
Record Number
,
Phone fr� . / k-
.
Time T( •
Inspector Signature
Obstruction
Unable to push past
feet.
Entered S L at '47.7
Notes
r 1=inal Cleanout:
ry
0 pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
r efused
,<./
Yellow Copy: City of Eagan Pink Copy: SEH