4351 Rahn Rd - Inspection Formo
4 11 _ 1111 ‘ City of Ea pp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
T ✓ 1)
� " Dis #
PID Number
House Number
Alternative Mailing Ad
o pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
'Sag1Pipe Deflection
4" to 6" Transition:
9, )0
White Copy: Property Owner
i • zj am
Time �� pm
Street Name
Owner /Occupant Signature
,.a
s
Record Number
me
Phone
For information calf 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
Obstruction
Unable to push past
feet
Service Lateral Inspe'�ltion Findings / 1 Number of st cl ;�1 Entered S L at
Roots � �'
Poor Pipe joints
Mineral Deposits
Damaged Pipe
r r i I /
Transition T ? �-i '�, L- f �1: ' q
Length of Service:
Yellow Copy: City of Eagan
i
•
•
inspector Signature
a l Cleanout:
i Oam
m J Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly Unknown
Notes
Total
Sump pumps
I , ' + �)
ill
Foundation drains
---
.,_.2 I.
Roof drains
o
4 11 _ 1111 ‘ City of Ea pp
Residential Sanitary Sewer Service
Compliance Inspection
Date
Name
T ✓ 1)
� " Dis #
PID Number
House Number
Alternative Mailing Ad
o pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
'Sag1Pipe Deflection
4" to 6" Transition:
9, )0
White Copy: Property Owner
i • zj am
Time �� pm
Street Name
Owner /Occupant Signature
,.a
s
Record Number
me
Phone
For information calf 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
Obstruction
Unable to push past
feet
Service Lateral Inspe'�ltion Findings / 1 Number of st cl ;�1 Entered S L at
Roots � �'
Poor Pipe joints
Mineral Deposits
Damaged Pipe
r r i I /
Transition T ? �-i '�, L- f �1: ' q
Length of Service:
Yellow Copy: City of Eagan
i
•
•
inspector Signature
a l Cleanout:
i Oam
m J Pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Pink Copy: SEH