4333 Rahn Rd - Inspection FormResidential Sanitary Sewer Service
Compliance Inspection
am
Dat/ / / Time Avpm
Name r Disk #
PID Number
Record Number.
House Number 2/7Te Street Name /04-7."1,- 4:'";'7,1)
Alternative Mailing Address
Time
• o am
•
• ///
OwnerlOccupant Signature
Phone T.67/ - -2/ 2
/
/7-f:inspector Signature
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
)No sump pump
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
Obstruction
Unable to push past
feet
No Access
O No one in
Access to service
lateral needed
O Inspection
refused
Ser vice Lateral inspection Findings
Number of stacks Entered S.L. at
Roots
Poor Pipe Joints
Mineral Deposits
Sag/Pipe Deflection
Damaged Pipe
Transition
4" to 6" Transition:
Length of Service:
Final C)eanout:
White Copy: Property Owner
Yellow Copy: City of Fagan
Pink Copy: SEH
Notes
,,,/$(..-A:,-.fxitar-..-- /4,..". /9 ...,Y24-7---,
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
11111
(10 7
Foundation drains
Ell
— tijdr7t-WO-44e--- ---7 6 /r-77- ._.-717:-...--;-2--(,;--
Roof drains
Ell
v <Y,:( 7374 .7,1--„4,,"€.42-- ii;/
:„.
-4-.7(4-- / 40.,.
White Copy: Property Owner
Yellow Copy: City of Fagan
Pink Copy: SEH
City o.;ddfl
Residential Sanitary Sewer .Service
Compliance inspection
Date 6-17 / 7 / /1
Time /7: 004;m
Name /✓ 1' ci [ .�= t-71/1,0 r
PID Number
Disk #
0
House Number Street Name
Alternative Mailing Address
Record Number
r
Time i a Z
o am
.bpm
Phone'1
OwnerlOccupant Signature
y
/' inspector Signature
For information. call 651.47.0.2788
Compliance
,grNo foundation drain connection
' No roof drain connection
O Sump pit not connected to
sanitary sewer
O Sump pump properly piped
No sump pump
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
Obstruction
Unable to push past
feet
No Access
O No one in
O Access to service
lateral needed
O inspection
refused
Service Lateral Inspec ion Findings Number of stacks10.0
Roots . A -
/
Poor PipeJoints
Entered S.l_.at
Mineral Deposits
Sag/Pipe Deflection
Damaged Pip/7/4777,4-v t
Transition /n' Y / 'v 't /• ( % c' " 3'
4" to 6"Transition:
44/
Length of Service:
1
w_ Final Cleanout:
Notes
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH
Number
Correctly
Discharged
Incorrectly
Unknown
Total
Sump pumps
.._.
Foundation drains
____ -M--
---
Roof drains
_._._______ -
, --
Notes
White Copy: Property Owner
Yellow Copy: City of Eagan
Pink Copy: SEH