4171 Rahn Rd - Inspection FormSump pumps
Foundation drains
,,7
Roof drains
City of ha
Residential Sanitary Sewer Service
Compliance Inspection
Datee ! / � J
Name
PID Number
- ) 7)
House Number
vel
Alternative Mailing Address
ort 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
Service lateral Inspection Findings
Roots
Poor Pipe Joints
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
Street Name
1 .fly ✓{� am
Disk #
Total Correctly
Time / ( • o p
/21
,(;ETA
For information call 651.470.2788
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition
Phone .a- � �'� �i�` 1� 774
O Flexible sump pump piping
umber of stacks ! i
Non - Compliance
O Clear water connections to
sanitary sewer
O Service lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
V . ; �
Length of Service:
Number Discharged
Incorrectly Unknown
2 Time
Record Number
rJ+ •
Inspector Signature
/J
Obstruction
Unable to push past
feet
Entered S. L at 2 I r
Notes
p
am
O pm
No Access
O No one in
O Inspection
refused
Final Cleanout:
'.f v:� 1
O Access to service .
lateral needed
Yellow Copy: City of Eagan Pink Copy: SEH