4375 Rahn Rd - Inspection FormCity of Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Date 02 / Z 1 ` 0
Compliance
Cj foundation drain connection
V No roof drain connection
A
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
V ' No sump pump
White Copy: Property Owner
1.
4" to 6" Transition: A -1
arn
Time 07 p pm
Name I/ / fe - ✓ `!f ✓Disk #
PID Number
House Number if -f.., Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Length of Service:
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
4
Record Number
• T ' p am
Time / ! O prn
Ph ne
For information call 651.470.2788
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks r Entered S. L at , 1
No Access
O No one in
Fi al Cleanqut:
Service Lateral Inspection Findings
Roots ',
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition : /' &J I A / rr ( 911 V f
O Access to service
lateral needed
O Inspection
r efused
N otes
��. 610 e
"v ""'/
Yellow Copy: City of Eagan Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
d._..
Foundation drains
~
Roof drains
.' _.
City of Ea au
Residential Sanitary Sewer Service
Compliance Inspection
Date 02 / Z 1 ` 0
Compliance
Cj foundation drain connection
V No roof drain connection
A
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
V ' No sump pump
White Copy: Property Owner
1.
4" to 6" Transition: A -1
arn
Time 07 p pm
Name I/ / fe - ✓ `!f ✓Disk #
PID Number
House Number if -f.., Street Name
Alternative Mailing Address
OwnerlOccupant Signature
Length of Service:
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
4
Record Number
• T ' p am
Time / ! O prn
Ph ne
For information call 651.470.2788
Inspector Signature
Obstruction
Unable to push past
feet
Number of stacks r Entered S. L at , 1
No Access
O No one in
Fi al Cleanqut:
Service Lateral Inspection Findings
Roots ',
Poor PipeJoints
Mineral Deposits
Sag /Pipe Deflection
Damaged Pipe
Transition : /' &J I A / rr ( 911 V f
O Access to service
lateral needed
O Inspection
r efused
N otes
��. 610 e
"v ""'/
Yellow Copy: City of Eagan Pink Copy: SEH