4064 Rahn Rd - Inspection FormSump pumps
;
Foundation drains
/
Roof drains
1,\
Residential Sanitary Sewer Service
Compliance Inspection
Date/ -7
Name
PID Number
House Number
wq-A
Alternative , Address
o pliance
No foundation drain connection
No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
ti
No sump pump
Mineral Deposits
.'Sag /Pipe Deflection.
-
Damaged Pipe
' Transition
L 7
4" to 6" Transition:
White Copy: Property Owner
Time
Disk #
Street Name
OwnerfOccupant Signature
Total Correctly
•., QJ am
• SJ pm
J /1
Non-Compliance
For information call 651.470.2788
O Clear water connections to Unable to push past
sanitary sewer feet
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Service
! / rte La ( spetioFindi /1 , — N of stacks Entered S L. at
J r qty .-
t
Poor Pipe Joints
x(17 Length of Service: ÷ Final Cleanout:
Number Discharged
Incorrectly Unknown
L
Yellow Copy: City of Eagan
Record Number
�.f
am
Time �" • _ ei pm
Phone ( i 2 `7 J / /C ran
Obstruction
Notes
inspector Signature
No Access
O No one in
O Access to service
lateral needed
O Inspection
refused
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Pink Copy: SEH