4211 Rahn Rd - Inspection FormSump pumps
r
Foundation drains
Roof drains
Date
Name
Eiiy of Papa
Residential Sanitary Sewer Service
Compliance Inspection
( Time
PID Number.
House Number °,-G / 1 Street Name
Alternative Mailing Address
Owner /Occupant Signature
For information call . 651:470.2
Compliance
No foundation drain connection
1
Q No roof drain connection
Sump pit not connected to
sanitary sewer
Sump pump properly piped
O No sump pump
Service Lateral Inspection Findings
Roots !
4" to 6" Transition:
White Copy: Property Owner
Total
Disk #
• am
• o pm
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
Record Number
I ;
Phone •---..
inspector Signature
Obstruction
Unable to push past
feet
Number of stacks Entered S.l_.. at
•
Time • o pm
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition 1I }
Length of Service:
Number Discharged
Correctly Incorrectly Unknovvn',
Notes
Final Cleanout: l / C
Yellow Copy: City of Eagan Pink Copy: SEH