4253 Rahn Rd - Inspection Form4
City llh aD
Residential Sanitary Sewer Service
Compliance lnspecti ®n
Date 4/„.-..
Name _ A Jr ),' /
PID Number
House Number . Street Name
Alternative Mailing Address
0wner10ceuiant Sgnature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
! o am
Time , . pm
I
Record Number
. •it
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
Phone 7 , - - ' " 7 I
Obstruction
Unable to push past
feet
Number of stacks Entered S L. at
Length of Service:
Yellow Copy: City of Eagan
•
ime •
Inspector Signature
o am
o pm
No Access
D No one in
Access to service .
lateral ne ded
O Inspection 11
refused
j
d
r1
Final Cleanout:
Pink Copy: SEH
Number Discharged
Correctly Incorrectly
N otes
Total
Unknown
Sump pumps
Foundation drains
Roof drains
4
City llh aD
Residential Sanitary Sewer Service
Compliance lnspecti ®n
Date 4/„.-..
Name _ A Jr ),' /
PID Number
House Number . Street Name
Alternative Mailing Address
0wner10ceuiant Sgnature
For information call 651.470.2788
Compliance
O No foundation drain connection
O No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
O No sump pump
Service Lateral inspection Findings
Roots
Poor Pipe joints
Mineral Deposits
SaglPipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
White Copy: Property Owner
! o am
Time , . pm
I
Record Number
. •it
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
Phone 7 , - - ' " 7 I
Obstruction
Unable to push past
feet
Number of stacks Entered S L. at
Length of Service:
Yellow Copy: City of Eagan
•
ime •
Inspector Signature
o am
o pm
No Access
D No one in
Access to service .
lateral ne ded
O Inspection 11
refused
j
d
r1
Final Cleanout:
Pink Copy: SEH
Eity of Fla pp
Residential Sanitary Sewer Service
Compliance Inspection
Date (f? 1 / /r2
Name .4,1f//4/ 1.1,,, 9(.t/ Disk #
PID Number
House Number ` //. Street Name
Alternative Mailing Address
.
Compliance
(F No foundation drain connection
Q' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
ak.3 ex
• 0 a
Time •pin
a
Non - Compliance
O Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ! ?T U�..___ j, {./
777 Length of Service:
Record Number
Phone
Time
5
• o tr
• op.
E` er r
` ✓ Inspector Signature
For information call 651.470.2788
Notes
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
Entered St at , K-- (.0
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks
_ rf
Roots ' --
7
Yellow Copy: City of Eagan Pink Copy: SEH
Nurrber
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
g .
-
--
Foundation drains
Roof drains
--- °-` _
°-'
Eity of Fla pp
Residential Sanitary Sewer Service
Compliance Inspection
Date (f? 1 / /r2
Name .4,1f//4/ 1.1,,, 9(.t/ Disk #
PID Number
House Number ` //. Street Name
Alternative Mailing Address
.
Compliance
(F No foundation drain connection
Q' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
4" to 6" Transition:
White Copy: Property Owner
Owner /Occupant Signature
ak.3 ex
• 0 a
Time •pin
a
Non - Compliance
O Clear water connections to
sanitary sewer
O Ser vice lateral defects
O Defective manholes
O Sump pump connected to sanitary
sewer
O Flexible sump pump piping
Poor Pipe Joints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition ! ?T U�..___ j, {./
777 Length of Service:
Record Number
Phone
Time
5
• o tr
• op.
E` er r
` ✓ Inspector Signature
For information call 651.470.2788
Notes
Obstruction
Unable to push past
feet
Final Cleanout:
No Access
O No one in
Entered St at , K-- (.0
O Access to service
lateral needed
O Inspection
refused
Service Lateral Inspection Findings Number of stacks
_ rf
Roots ' --
7
Yellow Copy: City of Eagan Pink Copy: SEH