4345 Rahn Rd - Inspection FormA-, (
`Number Discharged
Notes �..._ (Yiv 't�' ° A
Total C
Correctly. I
Incorrectly U
Unknown (
Sump pumps '
,
Foundation drains
Roof drains !
! _
__
City i' him
Residential Sanitary Sewer Service
Compliance Inspection
Time 07 : o pm
Date / ° 1 CJ
0 7
Name L
ND Number
House Number
Alternative Mailing Address
k i ; f /
Co p pliance
No foundation drain connection
1/6 No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
g No sump pump
Sag /Pipe Deflection
Damaged Pipe
'Transition 1 /7,
Street Name
4" to 6" Transition:
White Copy: Proper ty Owner
Owner /Occupant Signature
(ti
-1/46)4
Disk #
0
71
Non - Compliance
Clear water connections to
sanitary sewer / rt j
O Service lateral defects
• Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
fzIt _ /-7
Length of Service:
Yellow Copy: City of Eagan
Record Number Tyr
Time 6f
Phr e ,'' 0 ° -c'? G
::- nspector Signature
For information call 65 470.2788
Obstruction
Unable to push past
feet
Service Lateral Inspection Findings Number of stacks Entered S L. at
Roots ; ,
f
,
Poor Pipe Joints
Mineral Deposits
( a-rn
0 pm
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Final Cleanout:
Pink Copy: SEH